Job Summary:

The Clinical Operations Analyst III reviews and analyzes the effectiveness and efficiency of clinical operations and participates in development of solutions to improve or further leverage these functions.

Essential Functions:

• Work with key stakeholders to identify initiatives and tactics that support achievement of business goals and objectives
• Manage tracking of initiative goals and progress against the goals
• Partner with clinical functional leaders to develop work force management tools based on key metrics
• Facilitate clinical work force management governance processes
• Drive resolution processes for issues advanced by Clinical executive leadership
• Work with key stakeholders to understand business requirements to assure alignment with organizational strategies
• Facilitate root cause determination process and related remediation plans through the deployment of analytical and reporting resources
• Understand the stakeholder's business culture and priorities to effectively identify business problems, assess proposed solutions, and represent the needs of stakeholders
• Conduct requirements analysis, leveraging appropriate company and industry approaches and modeling techniques to develop requirements, document them according to corporate standards and procedures, and prioritize them for assigned areas
• Identify inconsistencies and gaps in a complex business process
• Assume a leading role in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed information.
• Work with business to develop a business case including return on investment, soft benefits and any regulatory issues
• Participate in department meetings/activities and contribute to a collaborative team environment
• Perform any other job duties as requested

Education and Experience:

• Bachelor’s degree in Finance, Business, Economics, Engineering or related field or equivalent years of relevant experience is required
• A minimum of two (2) years of analytical experience is required
• A minimum of five (5) years of health care operations, finance, work force management, or project management experience is required
• Familiarity of the healthcare payer industry is required

Competencies, Knowledge and Skills:

• Proficient in Microsoft Office tools, including Word, Excel and PowerPoint
• Strong strategic thinking skills to identify innovative solutions
• Understanding of business analysis principles, process, and tools
• Proficient in customer relationship management tools
• Understanding of a project lifecycle, including processes, techniques and tools
• Strong interpersonal skills and proven ability to establish effective working relationships with stakeholders at all levels
• Exceptional written and verbal communication skills
• Ability to work independently and within a team environment
• Strong analytical skills
• Effective listening and critical thinking skills
• Ability to coordinate and lead cross-functional teams
• Extensive experience working on multiple projects
• Effective decision making and problem solving skills with close attention to detail
• Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
• Ability to multi-task and remain flexible during organizational and/or business changes
• Customer service oriented

Licensure and Certification:

• None

Working Conditions:

• General office environment; maybe required to sit/stand for long periods of time
• May be required to travel occasionally

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.