Network Operational Excellence Business Analyst - Health Providers - Work from Home
Madrid, ES
hace 6 días
source : DirectEmployers Association

Role can be based anywhere in the US; can be full time work from home; Open to the role being in Spain or the Middle East as well (Madrid or Dubai preferred) YOUR JOB We are looking for the Network Operational Excellence Business Analyst to continue to enhance our Provider Network journey leveraging data analytics to enhance our collaboration with health providers and improve the customer experience through a stronger partnership.

As a Network Operational Excellence Business Analyst you will report directly to the Provider Contracting Manager for Centers of Excellence (COE) contributing to the design and development of Key Performance Indicators, workforce tracking and planning, as well as the related reporting and process improvement capabilities.

The Operational Excellence Business Analyst will also play an important role on the review of operational processes related to health providers, as well as conduct lean-reviews and root-cause analysis with the objective to drive operational excellence and continuous process optimization, as well as conduct behavioral assessments based on collected data.

Reporting directly into the Provider Contracting Manager your duties are : + Perform network gap analysis by combining different data elements, including but not limited : membership by location, provider types, required services and plan design.

  • Provide recommendation of number of providers to expand based on defined criteria.+ Document and maintain inventory of provider queries and network expansion efforts.
  • Define, implement and manage the expansion intake process, including criteria.+ Preparation of weekly and monthly operational reports to the Total Heatlh & Network Leadership team, Client Management and Sales, and the CEO's.
  • Perform financial analysis on provider negotiations along with recommendations as directed by manager by leveraging multiple data sources and working alongside the Medical Economics team.
  • Design of a robust KPI's monitoring framework to measure production, quality, TAT, among others, - potential technology SalesForce.
  • Assess behavioral patterns across global health providers based on data analytics, support improvement focused enhancements, as well as organizing an completing activities to document and prepare potential business cases.
  • Close collaboration with the Business Intelligence team to design adequate reporting capabilities on Qlikview.+ Drive capacity planning efforts of the provider network team.
  • Proactive collaboration on Provider Network related projects.+ Monitor and management of the departments financial reporting and planning.
  • YOUR PROFILE + 3-5 years experience in a similar role+ Experience in data analytics in terms of performance management and financial analytics+ Affinity to evolving technological eco-system and ability to identify potential risks+ International mind-set, with holistic and able to work autonomously+ Financial education and insurance experience is a plus+ Striving for excellent service to our members, clients and providers is part of your DNA.

  • Strong presentation skills, and knowledge of Window Office tools like Word, Outlook, Excel, PowerPoint.+ A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
  • Excellent organization, planning and prioritization skills+ Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues+ Action-orientated problem-solving attitude, as well as results orientated - Create meaningful business related metrics and track progress / result+ Accountability - assume ownership for achieving personal results and collective team goals WHAT'S IN IT FOR YOU?
  • Flexible work location - can be work at home in the US.+ A challenging job in an emerging department within our international space.
  • A dynamic and entrepreneurial company culture that values and stimulates initiative. About Cigna Cigna Corporation (NYSE : CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.
  • We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products.

    Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions.

    Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

    When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place.

    What difference will you make? To see our culture in action, search #TeamCigna on Instagram. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

    If you require an accommodation based on your physical or mental disability please email : SeeYourself Do not email SeeYourself cigna.

    com for an update on your application or to provide your resume as you will not receive a response.

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