Service Integration Analyst II

CareSource; Dayton (KY); Hybrid; USD 63,000 - 100,000; Full time

Job summary

CareSource seeks a Service Process Analyst II to identify opportunities for process improvement across Customer Care and collaborate with stakeholders to implement efficient procedures. The role emphasizes data-driven analysis, audits, and cross-functional coordination to reduce inbound volume and average handle time.

The position requires a mix of project management, process mapping, and documentation skills, with a hybrid work arrangement in Dayton, KY.

Qualifications

• High School Diploma required.
• Bachelor’s degree or equivalent experience preferred.
• Experience translating business requirements into technical specifications required.
• Experience with quality or process methodologies (Six Sigma, LEAN, APQC) preferred.
• Proven ability to use data to inform recommendations.
• Minimum 2 years of healthcare payer customer service experience.

Responsibilities

• Manage a minimum of three medium complexity projects concurrently.
• Act as SME for assigned markets/products ensuring compliance with standards.
• Perform data analysis and process mapping to identify inefficiencies and automation opportunities.
• Create process documentation including SOPs and workflow diagrams.
• Partner with leaders to identify and prioritize improvement opportunities.
• Assess change requests and coordinate with stakeholders to set priorities.
• Assist with audits and regulator conversations as needed.
• Contribute to Voice of the Customer reports and leadership communications.
• Train new team members on policies and responsibilities.
• Perform other job-related instructions as required.

Skills

Data analysis

Process mapping

Stakeholder management

Six Sigma

Communication

Quality culture

Education

High School Diploma

Bachelor’s degree or equivalent

Tools

Word

Excel

PowerPoint

Visio

SharePoint

Dynamics 365

Job description

Job Summary:

The Service Process Analyst II identifies opportunities for improvement in Customer Care's business processes and recommends projects aimed at enhancing quality, reducing costs, and promoting automation and call reduction. This position collaborates with stakeholders to ensure alignment and successful implementation of new procedures, conducts process audits and root cause analyses, and serves as a subject matter expert for assigned markets/products.

Essential Functions:

• Manage a minimum of three medium complexity projects concurrently under limited direction of a manager
• Act as a Subject Matter Expert for assigned markets/products, ensuring that policies, processes, and training are compliant with contractual, regulatory, accreditation, and quality standards. Ensure seamless data integration and flow between systems.
• Perform comprehensive data analysis and process mapping to identify obstacles, inefficiencies, and opportunities for automation or reduction of inbound volume/AHT.
• Create comprehensive process documentation and guidelines, including standard operating procedures and workflow diagrams.
• Partner with leaders and subject matter experts across CareSource to identify and prioritize process improvement opportunities aligned with organizational strategic goals.
• Assess incoming service change requests and engage with stakeholders to discuss requirements and prioritize actions, ensuring optimal use of time and resources.
• Assist with audits, conversations with regulators, and cross-functional conversations requiring a Customer Care subject matter expert.
• Contribute content for Voice of the Customer report, Status Reports, and other communications to Senior Leadership.
• Train new team members to orient them to departmental policies, procedures, and responsibilities.
• Perform any other job-related instructions as requested

Education and Experience:

• High School Diploma is required
• Bachelor’s degree or equivalent years of relevant work experience is preferred
• Experience translating business requirements into technical specifications is required
• Experience and expertise with quality or process methodologies (i.e. Six Sigma, LEAN, APQC, etc.) is preferred
• Proven experience in utilizing data to inform and support recommendations is required.
• A minimum of two (2) years of customer service experience related to healthcare payer dealing with both members and providers is required

Competencies, Knowledge and Skills:

• Demonstrates a high level of accountability as it relates to ensuring Customer Care has all required processes and tools.
• Proficient use of Microsoft products including Word, Excel, PowerPoint, Visio, SharePoint, and Dynamics 365 is required.
• Experience with NICE CXOne is preferred.
• Strong interpersonal, active listening and critical thinking skills
• Ability to document and maintain system requirements including process flows is required
• Ability to keep current on business processes/technologies through self-directed learning
• Excellent written and verbal communication skills
• Ability to develop, prioritize and accomplish goals

Licensure and Certification:

• Six Sigma Green Belt and APQC Certification is preferred

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Hybrid Position; 2-3 days/week in Dayton office if home address is within 45 miles. Preferred days are Tuesday, Wednesday, & Thursday.
• Ability to travel as required by the needs of the business.

Compensation Range:

$62,700.00 - $100,400.00

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.