Ops Analyst I/II/III

Excellus Health Plan Inc. in; City of Rochester (NY); Hybrid; USD 62,000 - 107,000; Full time

Job summary

Excellus Health Plan Inc. is seeking an analyst to collect and analyze division data, helping allocate resources and forecast future requirements. You will work with management to develop insights and recommendations for process improvements and staffing strategies.

The role emphasizes producing regular performance reports, training end users, and ensuring data accuracy to support decision making across the organization.

Qualifications

• Bachelor's degree in Business Administration, Healthcare, or related field.
• Strong analytical and data-driven approach with process improvement focus.
• Effective oral and written communication skills; ability to present results.

Responsibilities

• Collect and analyze division data to allocate resources and forecast needs.
• Produce and interpret weekly, monthly, quarterly, and annual reports.
• Identify process improvements and support staffing effectiveness analyses.
• Train end-user personnel and ensure data integrity in systems.
• Provide recommendations for business strategies and projects.

Skills

Analytical thinking

Communication skills

Leadership

Team collaboration

Education

Bachelor's degree in Business Administration or Healthcare

Tools

Word/Excel/Access/PowerPoint

Job description

Plays a primary role in the collection and analysis of division data, which are used to allocate current resources and estimate future requirements. Works hand in hand with unit management to analyze trends and make recommendations for process improvements, including preparing and implementing projects. This position is additionally responsible for analysis and feedback supporting staffing effectiveness, including formulation of business strategies.

Essential Primary Responsibilities/Accountabilities:

• Provides advice and technical assistance in the preparation of division/unit production, performance, and corporate metric analysis. Analysis of production and performance data is broken down into weekly, monthly, quarterly and annual reporting.
• Directs analysis within the department for observations of processes and/or procedures to determine creative solutions or innovative approaches to process improvement strategies.
• Compiles and reviews performance data for assigned division, which is then reported for completeness, accuracy, and conformance with established procedures, State regulations, and organizational objectives.
• Employs cost-benefit analysis to review staffing requests, assess workflow trade-off, and explore alternative processing methods. May also examine past and current performance and research economic and financial developments that affect an operational unit's ability to produce.
• Trains and updates all end-user personnel for assigned division on appropriate procedures. Attends staff meetings for assigned division's management team and front line staff as appropriate.
• Inputs data into files for assigned division and ensures that system data is timely and accurate. Develops forms, logs and information flows pursuant to operational areas studied. Publishes accurate weekly reporting for all assigned division teams. Develops and publishes reports detailing current operations, recommends changes and projects future needs.
• Conducts workflow analyses as requested. Analyzes proposed business systems or changes to project impact to operations. Identifies and suggests solutions in the processing system.
• Performs consulting duties that improve operational effectiveness at both intra-unit and inter-unit levels.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values and adhering to the Corporate Code of Conduct.
• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Regular and reliable attendance is expected and required.
• Performs other functions as assigned by management.

Minimum Qualifications:

NOTE: This description includes multiple levels of classification. The levels of classifications are differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making and in some cases, becoming a resource to others. New hires will be placed in the level for which they are most qualified based on their experience, credentials and skills.

• Bachelor's degree in Business Administration, Healthcare, or other health related industry required. In lieu of degree, minimum eight (8) years of relevant experience in health insurance environment with emphasis on process improvement or analytical function required.
• Effective oral and written communication skills. Be a well-rounded candidate with strong creative, leadership, and team building skills.
• Analytical abilities from both a data and process review focus will be critical. Able to recommend improvements to current processes
• Microsoft office experience required. Must be proficient with Word/Excel, working knowledge of Access/PowerPoint.
• Able to gather necessary information and perform analysis on this data. Able to analyze information and present results clearly to higher levels of management.
• Demonstrate the ability to identify root causes of business and/or workflow problems and determine innovative sources for solutions and opportunities.
• Must be able to propose business strategies to assist in meeting the process improvement goals set by the Corporation each year

Physical Requirements:

• Use of a computer and phone, plus the ability to travel

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In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

Level I: Grade E1: Minimum: $62,400 - Maximum: $84,000

Level II: Grade E2: Minimum: $62,400 - Maximum: $96,081

Level III: Grade: E3: Minimum: $62,400 - Maximum: $106,929

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.