Operating Effectiveness Senior Analyst - EviCore
New
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EviCoreHealthcare operations
Based in United StatesFull-TimeSenior
Salary63,400 - 105,600 USD per year
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Job Details
- Required Skills
- SQLSharePointTableauDatabricks
Requirements
- Bachelor’s degree in Science, Healthcare Administration, Computer Science, Data Analytics, Mathematics, Information Systems, or a related field, or equivalent professional experience.
- Experience in healthcare operations, utilization management, clinical decision support, product operations, process improvement, or business systems analysis.
- Strong analytical and problem-solving abilities.
- Ability to translate business requirements into workflows, decision logic, pathways, algorithms, or system configurations.
- Ability to balance hands-on operational execution with strategic thinking, innovation, and continuous improvement.
- For remote work, a cable broadband or fiber optic internet connection with minimum speeds of 10 Mbps download and 5 Mbps upload is required.
- Familiarity with workflow design tools, business rules engines, Visio, SharePoint, Tableau, SQL, Databricks, or comparable analytics and process automation technologies is preferred.
- Experience supporting AI-enabled solutions, automation initiatives, intelligent workflow platforms, or decision-support technologies is preferred.
Responsibilities
- Design, develop, maintain, and optimize clinical decision-support pathways, business rules, algorithms, and automated workflows.
- Translate clinical guidelines, business requirements, regulatory standards, and client needs into system logic, workflow configurations, pathways, and decision-support solutions.
- Partner with Clinical, Operations, Product, Technology, Data, and Business teams to identify opportunities for automation, AI integration, workflow simplification, and improved operational effectiveness.
- Apply data analysis, critical thinking, and root cause analysis to resolve operational challenges and support continuous process improvement.
- Develop solutions for clinical decision-making, automated rationale generation, letter production, utilization management operations, and user experience.
- Conduct functional, regression, and quality assurance testing to verify accuracy, compliance, performance, and reliability.
- Monitor system performance, operational metrics, and user feedback to identify enhancement opportunities.
- Create and maintain process documentation, standard operating procedures, workflow diagrams, training materials, and governance controls.
- Support program implementations, enhancements, and enterprise initiatives through testing, training, deployment, and change management.
- Use reporting, analytics, and emerging AI technologies to improve decision accuracy, reduce manual effort, and increase operational scalability.
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