Network Pricing Sr. Operations Analyst

SGS_JOB_1983

Business Support
Remote
claims auditing
data analysis
MS Office Suite (Excel
Outlook
Teams
and Word).

Contract - 03+ Months

Must be well organized and able to accurately prepare, catalog and electronically store information. Strong communication skills, QA/QC experience* This assignment is to provide operational project support to assess different information inputs (moderate to complex data) that will be used in various pricing initiatives. The role will aggregate the data based on defined requirements to a single output for consumption by other areas in the organization. Strict attention to detail is essential to the role – the results could be subject to future audits.

Job Responsibilities:

  • The candidate will use (but not all-inclusive) MS Office Suite (Excel, Outlook, Teams, and Word).
  • Other potential project initiatives include (but not limited to) reconciliation of project data.
  • Must be well organized and able to accurately prepare, catalog and electronically store information. Demonstrably strong communication skills are required.

Skills:

  • Prior healthcare experience preferred.
  • Working in a PBM environment or equivalent, claims experience or claims auditing background a plus.
  • Demonstrable experience in data analysis is key, excellent verbal and written communication skills.
  • Experience in project participation in moderate to complex projects is preferred. Having worked in a fast paced, volume driven environment is also preferred. Exhibition of compliance and audit fundamentals preferred.

Education/Experience:

  • Verifiable High School Diploma or GED is required. Bachelor’ degree in finance, accounting or business is preferred, not required

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