Program Analyst

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

📋 Description

• Assist in managing client operations, ensuring client satisfaction, and guaranteeing the quality, accuracy, and timely delivery of client outputs.

• Work collaboratively with cross-functional teams, managers, and client partners.

• Contribute to the development of controls, procedures, systems, and methodologies.

• Conduct analyses, investigations, and quality assurance evaluations.

• Manage assigned projects that are of moderate complexity.

• Aid in client inventory management by overseeing program status and confirming deliverables.

• Liaise with client engagement, operations, and technical/product teams to resolve issues and communicate status updates.

• Evaluate service quality and operational performance.

• Track performance, identify trends, and suggest enhancements through data analysis and reporting.

• Assist in resolving pre- and post-implementation challenges, product usage, and inventory discrepancies.

• Review both recurring and ad hoc client deliverables, document outcomes, coordinate necessary corrections, and monitor resolutions.

• Support project and implementation strategies.

• Apply coordination of benefits procedures in discussions with internal teams and clients.

• Share knowledge regarding processes, products, and lessons learned with team members.

⛳️ Requirements

• Over 6 years of experience in health insurance, government, client service/business-to-business, or health policy.

• Familiarity with coordination of benefits processes, including associated challenges and solutions.

• At least 2 years of experience in project management or project coordination utilizing Agile, Waterfall, Lean, or comparable methodologies.

• A Bachelor’s degree in business administration, healthcare, or a relevant field.

• Experience dealing with medical claims, eligibility data, and databases.

• Proven experience in conducting quality assurance reviews, validating data and deliverables, documenting defects, and coordinating corrective measures.

• Basic knowledge of SQL and Python for tasks related to data analysis, validation, automation, or reporting is preferred.

🏝️ Benefits

• Flexibility in work arrangements.

• Opportunities for learning and career advancement.

• A balanced approach to work and personal life.

• Opportunities to obtain technical credentials and certifications.

• A generous and flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational assistance programs.

• Leadership and technical development academies.

• Up to 10% travel allowance or opportunities.