Workforce Management Analyst, Claims Operations - Meritain TPA
Core
Analyzes claims inventory, receipts, production, and staffing trends to optimize workforce capacity, forecast demand, and align resources with operational priorities in claims operations.
Role type
Workforce Management Analyst (Claims Operations)
Builds
Forecasts, capacity models, and operational reports for claims leadership
Domain
Health Insurance / Claims Operations
Deliverable
dashboards & analysis
Required skills
Workforce management, capacity planning, forecasting, claims operations analytics, data analysis, scenario modeling, reporting, workload distribution, resource allocation
Preferred skills
Health care claims operations, claims inventory management, production forecasting, operational metrics analysis, dashboard creation, risk identification
Technologies
Spreadsheets, reporting tools, workforce management systems
Responsibilities
Analyze claims receipts, production, inventory, and utilization trends; Develop and maintain demand and capacity forecasts; Build capacity models comparing available capacity to projected demand; Monitor workforce utilization and evaluate production impacts; Evaluate workload distribution and identify optimization opportunities; Partner with leadership to align capacity with priorities; Perform scenario modeling for staffing and volume changes; Develop recurring reporting and workforce insights; Translate data into actionable recommendations; Support development of workforce planning methodologies and governance.
Seniority
Mid-level, hands-on IC
