Operations Analyst
Prominence Healtha day ago
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OnsiteFull-timeSenior
Summary
Prominence Health is seeking an Operations Analyst to join their team in Reno, NV. The role involves providing support regarding standard procedures and best practices to meet business objectives, including the design and implementation of reports and compliance reviews.
About the Role
As an Operations Analyst, you will be responsible for collaborating with business leaders and subject matter experts to gather reporting requirements, conducting internal audits, analyzing regulatory requirements, and monitoring compliance deficiencies. You will also work with multiple payers to address claims issues and ensure data integrity through system QA reports.
About You
Required:
- High school diploma or equivalent required; Associate degree preferred.
- 5 years of health plan operations or health services experience preferred.
- In-depth knowledge and understanding of claims processing functions.
- Excellent interpersonal, communication, and organizational skills.
Preferred:
- Ability to analyze and interpret fee schedules and contracts.
- Strong knowledge and experience with MS Office, MS Project, and MS Visio.
- Self-starter with excellent analytical and problem-solving skills.
Benefits
- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries
Prominence Health
Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships.
Reno, NV