Operations Senior Analyst

Operations Senior Analyst Location 100% Remote # of Positions 1 Position Shift/Hours Hours are Monday Friday, 9:00am 6:00pm EST.
Candidates in all US time zones will be considered as long as they can commit to the scheduled hours. Start/End Dates 3/2/26 12/31/26 Job Description 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; providing documentation related to completion of assigned tasks and identifying operational or productivity enhancements. The Operations Analyst will provide project and administrative support to the team and escalate issues, risks, concerns as needed.
ESSENTIAL FUNCTIONS:

• Provide operational support for assigned Client 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 Client document and retention requirements.

Product OF JOB

• Develops competence by performing structured work assignments
• Uses existing procedures to solve routine or standard problems
• Receives instruction, guidance, and directions from others

Skills

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Computer or Other Skills:

• Strong PC skills and knowledge of Microsoft Office Suite and SharePoint, email and Internet
• Excellent verbal and written communication and presentation skills highly desirable
• Strong analytical problem solving skills

Education

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MINIMUM QUALIFICATIONS TO ENTER THE JOB:
Formal Education and/or Training:

• Bachelors degree OR in lieu of degree, will accept 5 to 7 years of equivalent work experience and HS Diploma. But if less experienced (0-2 years), must have degree.

Years of Experience:

• 0 2 years of relevant experience. Preferred experience in PBM and benefit set-up knowledge.

Computer or Other Skills:

• Strong PC skills and knowledge of Microsoft Office Suite (most specifically Excel and Outlook) and SharePoint, email and Internet
• Excellent verbal and written communication and presentation skills highly desirable
• Strong analytical problem solving skills

Knowledge and Abilities:

• Knowledge of the health care and PBM industry and its products and services
• Detailed oriented with strong analytical and problem solving skills
• Ability to manage timelines and meeting tight deadlines
• Ability to adapt in a dynamic work environment and make independent decisions
• Good organizational, prioritizing skills and ability to multi-task
• Strong customer service focus
• Demonstrated ability to work with other departments/teams to resolve issues
• PC Skills including Microsoft Office and SharePoint
• Independently develop standardized new group benefit design requests in the Client system. Assist with more complex setups or projects as needed. Track and report progress to team to ensure deadlines are met. Perform verification/QA and system testing before implementation and within contractual timeframe agreements. Provide consultative support to internal & external clients by researching & assisting with resolution of benefit design and claims issues.