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Healthfirst Operations Analyst in Remote, South Carolina

**This position is Remote

Duties & Responsibilities:

  • Complete daily, weekly and monthly analysis, reports, summaries and dashboards

  • Receive and respond to inquiries and complaints and interface with internal and external personnel

  • Support audit, compliance and regulatory responsibilities

  • Meet SLA guidelines in creating files, reconciling information, executing system batches, etc.

  • Identify solutions to issues related to the performance of the business operations and report findings and recommendations to management for process improvement

  • Participate in systems testing and validation for various operations systems

  • Work directly with other teams or business units as a subject matter expert to understand objectives and dependencies to ensure consistency

  • May serve as a departmental liaison with vendors or internal clients

  • Apply basic to complex analytics, data manipulation and/or data queries

  • Additional duties as assigned

Minimum Qualifications:

High School Diploma or GED from an accredited institution

Experience working in Microsoft product suite, including Outlook, Word, PowerPoint and Excel

Manipulation and creation of Excel spreadsheets; including but not limited to standardizing reports across multiple sheets, utilizing vLookups and functions/formulas, creating, using and interpreting pivot tables, filtering and formatting to generate desired results

Preferred Qualifications:

Bachelor's Degree from an accredited institution

Work experience in health insurance or healthcare environment

Strong analysis and report development skills

Expertise in utilizing data analysis and query tools such as SAS or SQL

Experience with one or more of the following: querying data using data tables and ACCESS, identifying risks, issues and providing resolution options

Working experience with NYSOH or Federal Exchange

Ability to demonstrate effective verbal and written communication

Compliance & Regulatory Responsibilities: See Above

License/Certification: NA

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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