Operations Support Specialist II

This is a fully remote position, open to applicants in Connecticut, +3 more states.

📋 Description

• Offer mentorship and support to junior staff, including formal assessments of their coaching performance and progress.

• Aid internal team members and outsourced personnel with error evaluations, audit inquiries, and complex task assignments.

• Engage in onboarding processes, competency identification, development planning, and talent management initiatives.

• Analyze trends, suggest process and workflow improvements, evaluate deficiencies, and conduct individual mentoring sessions.

• Raise awareness of system and operational challenges and assist in resolving issues.

• Generate daily educational bulletins to improve quality standards.

• Work in conjunction with Training Quality and Operations to ensure effective learning experiences, facilitate post-training transitions, monitor progress, and explore training alternatives.

• Provide cross-training at Horizon sites and remote vendor locations.

• Represent Operations during cross-functional meetings and collaborative work groups.

• Support modifications to training resources and schedules in response to staffing challenges and business requirements.

• Oversee provisions and recommend adjustments to SLAs to achieve productivity and quality targets.

• Conduct gap analyses and examine data/metrics to identify training requirements and solutions.

• Collaborate with stakeholders to create and deliver learning solutions for new products, system upgrades, and business initiatives.

• Partner with Instructional Design and Knowledge Management for the design and implementation of learning solutions.

• Evaluate supported workflows and processes.

• Assist with inventory management and other Training & Development tasks as assigned.

⛳️ Requirements

• High School Diploma/GED is mandatory.

• A minimum of 5 years of experience in health insurance operations, preferably in a related position.

• Knowledge of current industry trends and best practices is essential.

• Familiarity with the healthcare industry is required.

• Experience in claims processing is necessary.

• Proficient PC skills are required.

• Strong organizational, multitasking, analytical thinking, interpersonal, and presentation skills are crucial.

• Candidates must reside in New Jersey, New York, Pennsylvania, Connecticut, or Delaware.

🏝️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement