Operations Senior Analyst
Commercial Metals
US
Remote
21 days ago
Job Description
Position Title: Operations Senior Analyst Work Location: 100% Remote Assignment Duration: 10 Months Work Schedule: Monday – Friday, 9:00am – 6:00pm EST Work Arrangement: Remote Position Summary: The Operations Sr. Analyst completes assigned operational tasks using standard appropriate tools and provides support to client requests under the direction of the Client Benefit Managers and other team members. Responsibilities include handling daily request tracking, researching operational issues and running reports for internal and external clients upon request. Key Responsibilities: Provide operational support for assigned ESI Markets (Commercial, Medicare, Health Plan, etc.) for going plan changes, new implementations, and renewal activity. Review, analyze and verify intent of assigned benefit set-ups as they relate to products and programs. Identify and communicate need for customization to support client benefit requirements. Attend client calls/meetings as needed. Attend internal validation meetings. Run customized and scheduled reports. Manage performance guarantee tracking and report distribution for internal/external clients as requested. Adhere to all organizational SOPs and Compliance standards. Provide subject matter input as it relates to checklists and SOPs. Assist with operation input related to new product development. Identification, research, and resolution of operational issues. Provide training and mentoring for new team members, offshore and contingent employee resources. Comply with document and retention requirements. Independently develop standardized new group benefit design requests in the system. Assist with more complex setups or projects as needed. Track and report progress to ensure deadlines are met. Perform verification/QA and system testing before implementation and within contractual timeframe agreements. Provide consultative support by researching and assisting with resolution of benefit design and claims issues. Qualification & Experience: Bachelor’s degree OR in lieu of degree, 5 to 7 years of equivalent work experience and HS Diploma. If less experienced (0–2 years), must have degree. 0 – 2 years of relevant experience. Preferred experience in PBM and benefit set-up knowledge. Strong PC skills and knowledge of Microsoft Office Suite (Excel, Outlook) and SharePoint. Excellent verbal and written communication and presentation skills highly desirable. Strong analytical problem solving skills. Knowledge of the health care and PBM industry and its products and services. Detail oriented with strong analytical and problem solving skills. Ability to manage timelines and meet tight deadlines. Ability to adapt in a dynamic work environment and make independent decisions. Good organizational and prioritizing skills with ability to multi-task. Strong customer service focus. Demonstrated ability to work with other departments/teams to resolve issues. Applicant Notices & Disclaimers For information on benefits, equal opportunity employment, and location-specific applicant notices, click here At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 36.00/hr.