Member Data Analyst – Healthcare Operations

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in member services operations by evaluating and reporting on essential performance metrics.

• Recognize trends and propose process enhancements to improve service delivery and member satisfaction.

• Collaborate with teams in Operations, Customer Service, IT, Data, and Program Leadership.

• Align reporting needs and establish performance metrics.

• Analyze call center metrics, service-level performance, quality measures, satisfaction scores, and trends in member feedback.

• Identify underlying issues and opportunities for improvement.

• Monitor data related to enrollment, eligibility, health, life, and associated benefit programs.

• Create requirements for dashboards, reports, and visualizations utilizing Power BI, Excel, SQL, Tableau, or similar tools.

• Assess workflows, standard operating procedures (SOPs), and operational processes, recommending enhancements as needed.

• Contribute to data quality initiatives by pinpointing discrepancies and validating data sources.

• Utilize Jira or comparable tools to manage reporting requests and oversee process improvement initiatives.

• Generate executive-ready reports, presentations, and performance analyses.

• Ensure compliance with privacy, security, and regulatory requirements pertaining to member information and PHI.

⛳️ Requirements

• A Bachelor's degree in Business, Healthcare Administration, Analytics, Information Systems, Public Health, or a related discipline.

• Over 2 years of experience in data analysis, reporting, operations analysis, business analysis, customer service analytics, benefits administration, or a similar field.

• Proven experience in analyzing operational processes, identifying improvement opportunities, and executing data-driven recommendations.

• Strong proficiency in Excel and experience in creating reports, dashboards, and data visualizations.

• Familiarity with Power BI, Tableau, or similar business intelligence and reporting tools.

• Working knowledge of SQL for data extraction, analysis, and reporting.

• Experience in documenting business processes, creating workflow maps, standard operating procedures (SOPs), or operational requirements.

• Excellent analytical, problem-solving, organizational, and communication skills.

• Ability to present findings and recommendations to both operational and leadership audiences.

• Capability to work collaboratively across both business and technical teams.

• Must be able to obtain and maintain Public Trust suitability.

• Preferred: experience in supporting healthcare, health insurance, benefits administration, member services, customer contact centers, or government healthcare programs.

• Preferred: knowledge of healthcare operations, enrollment processes, claims, eligibility, customer experience, or service delivery metrics.

• Preferred: experience with Jira or other work management and ticketing systems.

• Preferred: understanding of HIPAA, PHI, PCI, or related privacy and security regulations.

• Preferred: experience with methodologies for process improvement, workflow optimization, or operational excellence initiatives.

🏝️ Benefits

• Options for medical plans, including some with Health Savings Accounts.

• Choices for dental plans.

• Vision plan options available.

• 401(k) plan featuring pre-tax and post-tax contributions along with a company match.

• Flexible work weeks where feasible.

• Leave for vacation, sick days, personal matters, holidays, parental duties, military obligations, bereavement, and jury duty.

• Typically 15 days of paid leave granted each calendar year.

• 10 paid holidays annually.

• Up to 160 hours of paid family leave available within a rolling 12-month period for eligible employees.

• Short- and long-term disability benefits.

• Life insurance coverage.

• Accidental death and dismemberment insurance.

• Personal accident insurance.

• Critical illness insurance.

• Business travel and accident insurance.

• Remote work opportunities.