Health Insurance Analyst II Position Available In Jefferson, Alabama

Job Description:

BASIC FUNCTIONS

The Analyst II will be responsible forsupporting and developing the quality improvement, risk adjustmentand/or plan performance processes. This includes monitoring andreporting of quality, risk and/or performance indicators,identification of opportunities for improvement, conductingqualitative barrier analysis, collaborating with business areas toidentify strategies for improvement and monitoring impact ofinitiatives. This position will monitor outcomes of key indicatorsincluding health status, health outcomes, member experience andoperational metrics and have an in-depth knowledge of regulatoryrequirements. The incumbent will work collaboratively with theinternal team to support research and analysis and incorporatepolicies and practices to ensure execution of a sound program tomaintain integrity of internal procedures. The incumbentestablishes and maintains partnerships with business areas and keypersonnel. Remember to check your CV before applying Also, ensure you readthrough all the requirements related to this role.

PRIMARY RESPONSIBILITIES

Participate in enterprise-widediscussions and create work plans to accomplish established goalsUtilize quality management process Monitor, analyze and reportresults of key quality and risk indicators Create positive,professional relationships with both internal and externalcustomers Develop and disseminate dashboards within establishedtimelines Communicate, educate, and collaborate on quality, riskand association regulations Collaborate with both internal andexternal customers Proactively research industry standards and bestpractices Participate in quality, risk and performance-initiatedworkgroups Consistently provide visibility into quality and riskprojects and report progress to management Identify, monitor andinitiate interventions in conjunction with business partnersHandles multiple priorities and meets aggressive timelines

SUMMARY OF QUALIFICATIONS

Minimum of 3 years of experience in areas such as the healthcarefield, quality improvement strategies, regulations related toquality, project management, and/or methods for data analysistechniques and interpretation Experience with project managementand continuous improvement, along with organizational andanalytical skills in order to independently identify and evaluateopportunities for improvement related to Key Quality Indicators(KQIs) Provide support on complex project scopes and assist in thecreation of work plans to achieve the objectives of projects Strongcommunication skills, both orally and written, along with positivecollaboration and excellent interpersonal skills Experiencehandling day to day decisions with minimal guidance Experiencepresenting data or information for the purposes of proposal ordecision making Experience developing objectives, setting goals andfacilitating plans to achieve desired results Experience workingwith management to determine priorities and planning that supportdirection of a division Proficient in Microsoft Word, Excel andPower Point In office 2 days Innova Solutions is immediately hiringis immediately hiring for a

Health Insurance Analyst Location:

Birmingham, AL Employment Type:

Hybrid 2 days in office/ 3 days remote

Work Hours:

Monday to Friday, 8:00 AM

• 5:00 PM The Analyst II will be responsible for supporting and developingthe quality improvement, risk adjustment and/or plan performanceprocesses.

This includes monitoring and reporting of quality, riskand/or performance indicators, identification of opportunities forimprovement, conducting qualitative barrier analysis, collaboratingwith business areas to identify strategies for improvement andmonitoring impact of initiatives. This position will monitoroutcomes of key indicators including health status, healthoutcomes, member experience and operational metrics and have anin-depth knowledge of regulatory requirements. The incumbent willwork collaboratively with the internal team to support research andanalysis and incorporate policies and practices to ensure executionof a sound program to maintain integrity of internal procedures.

The incumbent establishes and maintains partnerships with businessareas and key personnel.

PRIMARY RESPONSIBILITIES

• Participate in enterprise-wide discussions and create workplans to accomplish established goals
• Utilize quality management process
• Monitor, analyze and report results of key quality and riskindicators
• Create positive, professional relationships with both internaland external customers
• Develop and disseminate dashboards within establishedtimelines
• Communicate, educate, and collaborate on quality, risk andassociation regulations
• Collaborate with both internal and external customers
• Proactively research industry standards and best practices
• Participate in quality, risk and performance-initiatedworkgroups
• Consistently provide visibility into quality and risk projectsand report progress to management
• Identify, monitor and initiate interventions in conjunctionwith business partners
• Handles multiple priorities and meets aggressive timelines

SUMMARY OF QUALIFICATIONS

• Minimum of 3 years of experience in areas such as thehealthcare field, quality improvement strategies, regulationsrelated to quality, project management, and/or methods for dataanalysis techniques and interpretation
• Experience with project management and continuous improvement,along with organizational and analytical skills in order toindependently identify and evaluate opportunities for improvementrelated to Key Quality Indicators (KQIs)
• Provide support on complex project scopes and assist in thecreation of work plans to achieve the objectives of projects
• Strong communication skills, both orally and written, alongwith positive collaboration and excellent interpersonal skills
• Experience handling day to day decisions with minimalguidance
• Experience presenting data or information for the purposes ofproposal or decision making
• Experience developing objectives, setting goals andfacilitating plans to achieve desired results
• Experience working with management to determine priorities andplanning that support direction of a division
• Proficient in Microsoft Word, Excel and Power Point
• In office 2 days

PAY RANGE AND BENEFITS

Pay Rate

• : $90,000
• 100, 000 Total Comp
• Pay range offered to a successful candidate will be based onseveral factors, including the candidate’s education, workexperience, work location, specific job duties, certifications,etc.

Benefits:

Innova Solutions offers benefits( based on eligibility)that include the following: Medical & pharmacy coverage,Dental/vision insurance, 401(k), Health saving account (HSA) andFlexible spending account (FSA), Life Insurance, Pet Insurance,Short term and Long term Disability, Accident & Critical illnesscoverage, Pre-paid legal & ID theft protection, Sick time, andother types of paid leaves (as required by law), EmployeeAssistance Program (EAP).

ABOUT INNOVA SOLUTIONS

Founded in 1998 and headquartered inAtlanta, Georgia, Innova Solutions employs approximately 50,000professionals worldwide and reports an annual revenue approaching$3 Billion. Through our global delivery centers across NorthAmerica, Asia, and Europe, we deliver strategic technology andbusiness transformation solutions to our clients, enabling them tooperate as leaders within their fields.

Recent Recognitions:

• One of Largest IT Consulting Staffing firms in the USA
• Recognized as #4 by Staffing Industry Analysts (SIA 2022)
• ClearlyRated
• Client Diamond Award Winner (2020)
• One of the Largest Certified MBE Companies in the NMSDC Network(2022)
• Advanced Tier Services partner with AWS and Gold with

MS Website:

https://www.innovasolutions.com/ Innova Solutions is an Equal Opportunity Employer and prohibits anykind of unlawful discrimination and harassment. Innova Solutions iscommitted to the principle of equal employment opportunity for allemployees and to providing employees with a work environment freeof discrimination and harassment on the basis of race, color,religion or belief, national origin, citizenship, social or ethnicorigin, sex, age, physical or mental disability, veteran status,marital status, domestic partner status, sexual orientation, or anyother status protected by the statutes, rules, and regulations inthe locations where it operates. If you are an individual with adisability and need a reasonable accommodation to assist with yourjob search or application for employment, please contact us athr@innovasolutions.com or (770) 493-5588. Please indicate thespecifics of the assistance needed. Innova Solutions encourages allinterested and qualified candidates to apply for employmentopportunities. Innova Solutions (HireGenics/Volt) does notdiscriminate against applicants based on citizenship status,immigration status, or national origin, in accordance with 8 U.S.C

• 1324b.