Operations Analyst

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY: Research and analyze data, from internal, external, regulatory and compliance sources across various Operations teams. Work with the various levels of leaders on high priority projects. Collaborate with subject matter experts from different business areas to understand process, identify trends and opportunities for improvement. Perform root cause analysis to improve production and/or performance quality. Develop, document and test business application functionality to ensure deliverables. Consult with both internal and external customers on technical matters and project status.

JOB ROLES AND RESPONSIBILITIES:
1. Represent the department as a subject matter expert/stakeholder in on projects and communicate expected results
2. Maintain a strong understanding of the department's processes across all divisional departments as well as a very strong working knowledge of business rules specific to areas of the department and Operations in general.
3. Effectively conduct root cause analysis for various special projects as assigned. This may include shadowing users and updating existing documentation as well as creating new processes/documents to improve efficiency, ultimately improving overall departmental production and/ or performance quality. Work in a very autonomous manner while keeping all process rules and department goals and objectives in mind
4. Stay current with all changes/updates to all processes in the department.
5. Analyze data from all processes and build reports around trends
* Research, construct, develop and test data on applicable systems and environments.
* Act as resource to department management staff in interpreting, analyzing, and utilizing various reports.
* Identify service level problems and trends, test and report results, including at times sign off and approval of specifications or application readiness.
6. Create, analyze and interpret management reports and department data that accurately reflect department performance and trends. Monitor product performance for process improvements.
7. Compile, analyze, and report any trends observed in performance and/or productivity levels of departmental staff across various areas. Identify problems in data processing either from various areas or Vendor processing and escalate if needed
8. Design reporting and delivery solutions while working closely with IT during all phases of development, testing and release and monitoring. Obtain, conduct and perform signoff on business requirements, system enhancements/builds, and deployment authorizations.
9. Effectively work with the suite of the Company's (as well as a number of various legacy) applications in both production and non-production environments
10. Manage multiple priorities, customer expectations (internal and external) and relationships with stakeholders. Consult and manage and communicate with customers, project managers, and all levels of management.
11. May lead departmental User Acceptance Testing, utilizing all systems necessary and performing all UAT based activities on behalf of department.
12. Collaborate, coordinate, and communicate across disciplines and departments.
13. Ensure compliance with HIPAA regulations and requirements.
14. Demonstrate Company's Core Competencies and values held within
15. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High-Risk Role.
16. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE: This job works under minimum supervision to independently complete job responsibilities. The incumbent possesses and applies a range of knowledge gained through experience and knowledge or practices and procedures in the field to complete the job responsibilities. One uses established guidelines, acquired skills and gained experience to resolve issues that may be complex and refers the most complex issues to higher levels. A degree of independent judgment is required to accomplish daily tasks and duties.