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PDO Operations Analyst

$51k - $80.07k

Healthfirst

Operations Analyst – Optimization Team The Operations Analyst – Optimization Team is responsible for driving efficiency, accuracy, and continuous improvement across provider data operations. This role analyzes workflows, identifies inconsistencies, supports cross‑functional collaboration, and implements scalable solutions to enhance onboarding, reconciliation, and overall operational performance. Key Responsibilities Operational Optimization : Analyze provider data workflows to identify inefficiencies, rework, and process gaps; recommend and implement scalable solutions to improve turnaround times and reduce manual effort; support initiatives focused on operational excellence and continuous improvement. Data Accuracy & Reconciliation : Perform reconciliation of provider data across systems (e.g., PDM, Atlas, MHS, HRP); identify discrepancies, conduct root‑cause analysis, and partner with stakeholders to resolve issues; ensure data integrity, consistency, and alignment across platforms. QA / UAT & Quality Initiatives : Participate in QA and UAT testing to validate provider data accuracy and system enhancements; document findings and support issue resolution prior to production deployment. Reporting & Data Insights : Analyze provider data trends and develop insights to support informed decision‑making; prepare reports and dashboards highlighting risks, performance metrics, and improvement opportunities. Training & Documentation : Develop and maintain job aids, standard operating procedures, and training materials; support knowledge‑sharing initiatives to improve consistency and team effectiveness. Minimum Qualifications High School Diploma or GED from an accredited institution; Associate’s or Bachelor’s degree in Business, Healthcare Administration, Data Analytics, or related field preferred. Experience working in Microsoft product suite, including Outlook, Word, PowerPoint, and Excel. Advanced Excel skills, including the ability to manipulate and create spreadsheets, standardize reports across multiple worksheets, utilize VLOOKUPs, XLOOKUPs, formulas, and functions; create, interpret, and analyze pivot tables; and apply filtering, conditional formatting, and data validation techniques to generate accurate and meaningful results. Preferred Qualifications Bachelor’s degree in Business, Healthcare Administration, Data Analytics, or related field (or equivalent experience). 2–4+ years of experience in healthcare operations, provider data management, or process optimization. Experience analyzing data trends and identifying inconsistencies or discrepancies across systems. Ability to perform data reconciliation and root‑cause analysis to resolve operational issues. Experience in cross‑functional environments and collaborating with multiple stakeholders. Strong written and verbal communication skills, including the ability to document processes and present findings clearly. Ability to manage multiple priorities in a fast‑paced environment. Experience in managed care or provider network operations; familiarity with PDM, provider onboarding workflows, or credentialing processes. Experience supporting QA/UAT testing initiatives. Equal Opportunity Employer HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. The company shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us at View email address on click.appcast.io or call View phone number on click.appcast.io. Benefits The role offers a competitive salary range of $51,000–$80,070 depending on location and experience, and a comprehensive benefits package including medical, dental, vision coverage, incentive and recognition programs, life insurance, and 401(k) contributions. #J-18808-Ljbffr Healthfirst

Vacancy posted 4 days ago
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