Individual and Family Plans (IFP) Operations Lead Analyst

The Operations Lead Analyst exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.

Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends.

May lead projects or project steps within a broader project or have accountability for ongoing activities or objectives.

May assist in business processing, service levels and reporting.

Is responsible for preparing and reviewing key statements and document related to business operations.

Ensure that production levels and targets are achieved and effective processing controls are in place.

Key Responsibilities:


* Utilize Facets claim knowledge to analyze and interpret data.


* Generate and maintain reports using OneSource.


* Provide detailed trending and analysis to identify patterns and insights.


* Make data-driven recommendations for process improvements.


* Pull and manage queries to support the PI IFP team.


* Collaborate with cross-functional teams to ensure data accuracy and integrity.


* Present findings and recommendations to stakeholders in a clear and concise manner.


* Develop and maintain documentation for reporting processes and procedures.

Required Qualifications:


* Bachelor's degree in Business, Data Analytics, Information Systems, or a related field.


* Proven experience as a Reporting Analyst or similar role.


* Strong knowledge of Facets claim systems.


* Proficiency in OneSource or CCW.


* Excellent analytical and problem-solving skills.


* Ability to provide actionable insights and recommendations.


* Strong SQL skills and experience with query writing.


* Excellent communication and presentation skills.


* Detail-oriented with a strong focus on accuracy.


* Ability to work independently and as part of a team.

Preferred Qualifications:


* Experience in the healthcare insurance industry.


* Familiarity with PI IFP processes and requirements.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 61,200 - 102,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure.

That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.

Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.

We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holiday...