Operations Business Analyst III

Job Summary:

The Operations Business Analyst III is responsible for reviewing and analyzing the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or further leverage these functions.

Essential Functions:

Review and analyze the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or further leverage these functions

Perform cost-benefit and return on investment analyses for proposed initiatives to aid decision-making process as well as collect and analyze data in support of business case creation and realization

Ensures operational effectiveness by assisting in strategic and business planning, including business, financial, and operational goals and objectives definition as well as feasibility studies

Recognizes and proactively manages scope and expected benefits across the organization’s strategic initiatives and process improvements

Takes a leading role in the operational readiness process by reviewing transitional activities and associated documentation for completion prior to initiative implementation, including operational reports, turnover documentation, departmental policies and procedures and job aids

Takes a leading role in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed information.

Develop, document and perform testing and validation as needed

Mentor Business Operations Analyst/Associates to achieve cross-functional capability with project execution and subject matter expertise

Perform any other job duties as requested

Education and Experience:

Bachelor of Science/Arts degree or equivalent work experience is required

Five to eight (5-8) years of health care operations experience in insurance, managed care, or related industry is required

Competencies, Knowledge and Skills:

Knowledge of regulatory reporting and compliance requirements

Ability to effectively interact with all levels of management within the organization and across multiple organizational layers

Demonstrates excellent analysis and collaboration skills

Ability to multi-task and juggle competing priorities

Exceptional communication (verbal and written), facilitation and presentation skills

Strong interpersonal, leadership and relationship building skills

Critical listening and thinking skills

Customer service oriented

Effective time management and prioritization skills

Decision making and problem solving skills

Licensure and Certification:

Six Sigma or other performance improvement experience is preferred

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

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

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Brand=CareSource