Operations Lead Analyst

New
E
Express ScriptsHealthcare
United StatesFull-TimeSenior
Salary not disclosed
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Job Details

Experience
3+ years of experience in healthcare setting preferred
Required Skills
Microsoft OfficeProcess improvementData analytics

Requirements

  • High School diploma or GED required
  • 3+ years of experience in healthcare setting preferred (operations or significant cross-functional experience) required
  • Understanding of Consumer Driven Health (CDH) product (preferred)
  • Working knowledge of upstream functional processes such as Accumulator Benefits, Modular Frames, Eligibility, and Claims Processing (preferred)
  • Ability to use data to identify opportunities and drive positive outcomes
  • Strong communication skills and understanding of complex relationships between medical providers, account teams and internal functional/IT resources
  • Ability to work cross-functionally and manage multiple requests with competing deadlines
  • Demonstrated agility and ability to adapt to an ever-changing governmental regulatory landscape
  • Ability to work independently and as part of a team
  • Strong logical reasoning, attention to detail, and problem-solving skills
  • Experience with Microsoft Office software (preferred)

Responsibilities

  • Build and maintain the Express Scripts (ESI) relationship with third party medical providers and health plan clients for which ESI shares accumulators with for claims processing
  • Accountable for day to day issues and inquiries, technology and connectivity, performance, and trending analytics
  • Meet regularly with vendor team to understand non data trends and day to day tactical business needs
  • Navigate the complex and varied interactions with vendors and internal partners
  • Make recommendations to leadership for process improvements, systems upgrades, or technology changes
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