Healthcare Operations Analyst

• Analyze healthcare claims, reimbursement issues, and payer policy discrepancies.
• Conduct root cause analysis to identify and resolve operational and payment issues.
• Support contract administration, compliance activities, and operational initiatives.
• Research and resolve escalated payer and claims-related concerns.
• Review and interpret payer policies, reimbursement guidelines, and documentation requirements.
• Assist with audits, appeals, and compliance-related activities.
• Utilize Salesforce to track cases, workflows, escalations, and reporting.
• Collaborate with internal teams to improve operational processes and efficiencies.
• Maintain accurate records, documentation, and reporting.

Are you a naturally curious problem-solver who enjoys digging into complex issues, identifying root causes, and driving solutions? We’re seeking a Healthcare Operations Analyst to support healthcare operations, payer policy analysis, claims investigations, contract administration, compliance initiatives, and process improvement efforts.

This opportunity is ideal for someone who thrives in a fast-paced environment, enjoys analytical work, and can effectively collaborate with cross-functional stakeholders to resolve operational challenges., * 3+ years of experience in healthcare operations, payer operations, healthcare administration, claims analysis, revenue cycle, or related healthcare environments.

• Experience with healthcare claims, reimbursement, payer policies, audits, appeals, or operational analysis.

• Strong root cause analysis and investigative skills. * Salesforce experience is required.

• Excellent communication and relationship-building skills.
• Exceptional attention to detail and organizational skills.
• Ability to learn quickly and adapt in a fast-paced environment.
• Experience with Medicare, Medicaid, and commercial insurance plans.
• Knowledge of provider contracting, credentialing, reaccreditation, or payer enrollment processes.
• Advanced reporting and data analysis skills., * Analytical and detail-oriented mindset
• Strong problem-solving abilities
• Excellent communication skills
• Naturally inquisitive and investigative approach
• Ability to manage multiple priorities
• Comfortable working independently in a remote environment
• Passion for process improvement and operational excellence

Benefits Upon Permanent Hire

• Comprehensive health and wellness benefits
• Generous paid time off package
• Annual bonus opportunities
• Lifestyle spending account
• 401(k) with company contributions
• Employee Stock Ownership Plan (ESOP)
• Tuition reimbursement and student loan assistance
• Cell phone and internet reimbursement
• Strong work-life balance and flexible work environment
• Career growth and professional development opportunities

Why You’ll Love Working Here

• 100% remote work environment
• Meaningful, mission-driven work that makes a difference
• Collaborative and supportive team culture
• Employee ownership and shared success
• Leadership that values innovation and new ideas
• Opportunities to grow and advance your career
• Engaged, people-focused culture with regular employee recognition and celebrations