Associate, Inquiries and Investigations
Core
Manages cross-functional implementations and data corrections to enhance provider directory accuracy and filing submissions within a health insurance operations team.
Role type
Senior IC operations analyst (provider data)
Builds
Data correction processes and directory accuracy improvements for health insurance members
Domain
Health insurance / Provider network management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Project management, data analysis (SQL/Excel), workflow design, risk mitigation, stakeholder engagement, compliance reporting
Preferred skills
Lean Six Sigma, process improvement methodologies, healthcare quality metrics
Technologies
SQL, Excel, data analytics tools
Responsibilities
Lead end-to-end management of cross-functional projects to enhance processes and execute data corrections; Evaluate departmental performance by analyzing data to inform technology-enabled solutions; Collaborate with stakeholders to investigate risks and escalations; Mentor team members and drive operational efficiency
Seniority
Senior, hands-on IC with mentorship duties