Associate, Inquiries and Investigations
Core
Manages cross-functional implementations and data corrections to enhance provider directory accuracy and filing submissions while resolving complex escalations.
Role type
Senior IC operations analyst (healthcare data)
Builds
Data processes, directory accuracy, and filing submissions 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
Preferred skills
Lean Six Sigma, process improvement methodologies, healthcare quality experience
Technologies
SQL, Excel
Responsibilities
Lead end-to-end management of cross-functional implementations and projects; Evaluate departmental performance by analyzing data to inform technology-enabled solutions; Collaborate with stakeholders to investigate risks and escalations; Mentor team members to optimize operational efficiency
Seniority
Mid-level, hands-on IC with mentorship duties