Remote Operations Analyst - Data & Process Improvement

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

Benefits offered by this job

Remote work potential

Job summary

Excellus Health Plan Inc. in Rochester, NY is seeking a data and process analyst to collect and analyze division data, support staffing decisions, and drive process improvements. You will prepare weekly, monthly, and annual reports, work with management to propose solutions, and train end-users on procedures.

The role emphasizes data accuracy, cross-functional collaboration, and adherence to privacy policies, with potential for case-by-case remote work and a competitive salary range.

Qualifications

• 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

Responsibilities

• 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.

Skills

Oral and written communication

Analytical thinking

Data analysis

Process improvement

Team leadership

Education

Bachelor's degree in Business Administration/Healthcare or related field

Tools

Word

Excel

Access

PowerPoint

Job description

Excellus Health Plan Inc. in Rochester, NY is seeking a data and process analyst to collect and analyze division data, support staffing decisions, and drive process improvements. You will prepare weekly, monthly, and annual reports, work with management to propose solutions, and train end-users on procedures.

The role emphasizes data accuracy, cross-functional collaboration, and adherence to privacy policies, with potential for case-by-case remote work and a competitive salary range.