Retail Sales Operations Analyst
Full-time
Amerihealth Caritas
Role Description
The Retail Sales Operations Analyst serves as a key business partner supporting the Affordable Care Act (ACA) Exchange/Marketplace and Medicare sales operations through reporting, analytics, system administration, vendor management, and broker support.
Work Arrangement:
- Fully remote position with the flexibility to work from anywhere within the United States.
- Standard work schedule aligns with Eastern Time (EST) business hours.
- Reliable high-speed internet is required to support daily job responsibilities, with a minimum of 50 Mbps download and 5 Mbps upload speeds.
- Remote associates in states where reimbursement is required by law, regulation, or contract may be eligible for reimbursement for internet service.
Responsibilities:
- Manage onboarding and appointment processes for brokers, insurance agencies, and Field Marketing Organizations (FMOs).
- Oversee agent credentialing processes and maintain associated systems and databases.
- Serve as the primary point of contact for agent appointment, credentialing, and system access issues.
- Develop, maintain, and enhance reports, dashboards, and data visualizations to support Growth, Strategy, and Sales Operations initiatives.
- Produce and distribute daily, weekly, monthly, and ad hoc reports, including sales dashboards, agent appointment tracking, and Ready-to-Sell reporting.
- Prepare, present, and communicate data findings and recommendations to business leaders and stakeholders.
- Develop and maintain vendor governance reporting and dashboards to measure operational performance and support decision-making.
- Independently manage vendor relationships, facilitate recurring business reviews, and monitor adherence to service level agreements (SLAs).
- Gather, document, and oversee business requirements related to vendor system configurations, testing, and implementation activities.
- Create and maintain audit tracking tools and reporting mechanisms to support agent oversight and compliance activities.
- Serve as a subject matter expert (SME) for agent appointment systems, commission processes, Electronic Data Exchange (EDE), Customer Relationship Management (CRM) platforms, and Exchange sales operations.
- Document business processes, best practices, and user guides while providing training and support on new system enhancements and features.
- Partner with vendors, Information Systems, and business stakeholders to troubleshoot and resolve system-related issues.
- Research and respond to broker and agent inquiries received through shared mailboxes.
- Monitor, maintain, and optimize agent appointment and sales support systems.
- Identify trends, operational challenges, and opportunities to improve processes and system performance.
- Assist with agent training programs and the development of training materials.
- Act as a liaison between Sales Operations, Growth, Compliance, Technology, and external partners to support strategic initiatives.
Qualifications
- Bachelor’s degree or an equivalent combination of education and experience.
- 3 to 5 years of experience in healthcare, managed care, insurance, sales operations, business intelligence, or a related analytical role.
- Experience developing and maintaining Tableau dashboards, reports, and data visualizations, data modeling, and business intelligence reporting tools.
- Advanced Microsoft Excel and PowerPoint skills, including PivotTables, formulas, data manipulation, reporting, and the ability to create professional executive-level presentations.
- Experience in ACA Marketplace/Exchange products, enrollment processes, and distribution channels.
- Creating operational reports, performance tracking tools, and business metrics.
- Familiarity with NIPR, agent appointment processes, licensing, credentialing, and broker onboarding.
- Experience with CRM platforms and agent onboarding or compensation systems, including system configuration and automation.
- Experience supporting vendor management, governance reporting, and operational performance monitoring.
Skills & Abilities
- Strong analytical and problem-solving skills with the ability to interpret complex data and identify business opportunities.
- Ability to translate data into meaningful insights and recommendations for stakeholders.
- Strong project management and organizational skills with the ability to manage multiple priorities and deadlines.
- Excellent verbal and written communication skills, including presenting data to leadership and business partners.
- Ability to work independently while collaborating effectively across cross-functional teams.
- Strong attention to detail and commitment to data accuracy and quality.
- Ability to build relationships with vendors, brokers, FMOs, and internal stakeholders.
- Knowledge of healthcare sales operations, Exchange programs, agent appointment processes, and broker support functions.
- Ability to evaluate business needs, identify process improvements, and support technology-driven solutions.
- Strong time management skills with the ability to manage projects, deliverables, and reporting schedules in a fast-paced environment.
Vacancy posted 6 days ago
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