Operational Excellence Analyst I (Hybrid) - CareSource Healthcare : Job Details

The Operational Excellence Analyst I is responsible for oversight and monitoring of Operations regulatory and accreditation requirements as well as specific HEDIS initiatives. This hybrid position works Wed & Thurs in office every week at the Dayton OH HQ location. Essential Functions:Oversight and monitoring of Operations regulatory requirements. Oversight and monitoring of Operations specific HEDIS initiatives and accreditation requirements. Identify and perform oversight and monitoring of Claims, Provider Appeals, Provider Services (claims processing only), Provider Life Cycle and/or Enrollment processes. Generate monthly reporting, analyze and recommendations based on findings. Conduct monthly quality reviews with the Operations Management team. Work cross-functionally with the Operations Management team to identify process gaps and drive improvements. Perform any other job duties as requested. Education and Experience:Associates of Science/ Arts degree in Management Information Sy...Analyst, Operations, Operation, Monitoring, Excel, Processing, Technology, Healthcare