Associate Operations Correspondence Analyst

Role Overview

• Manage efforts to implement and revise correspondence for utilization management, claims, and complaints/grievance/appeals.
• Complete the client requirement document (CRD) to accurately reflect contract and regulatory requirements.
• Present the CRD content to the client.
• Coordinate revisions necessary to final completion and client approval.
• Identify templates required for implementation based on operational process and requirements.
• Draft a template document as necessary.
• Ensure template content meets requirements based on client contract, regulations, NCQA and/or URAC.
• Perform gap analysis for correspondence requirements and system functionality.
• Develop strategic solutions to ensure compliance with requirements.
• Coordinate template implementation and revisions with the client and operational departments.
• Define and communicate the rules necessary to populate variable information within the template.
• Mock up samples of the templates and review production samples for accuracy.
• Obtain client approval for the production samples.
• Audit templates periodically to ensure the most recent approved template is in production.

Requirements

• Associate degree in business, healthcare or related field (or equivalent work experience)
• Proficient with general computer software including Microsoft Excel, Word and Outlook.
• Exceptional communication skills and ability to communicate appropriately at all levels of the organization.
• Excellent spirit for teamwork, problem-solving, communication, and decision-making skills.
• Strong situational analysis and decision-making abilities.
• Excellent verbal, written, interpersonal, organizational and public speaking/communication skills.
• Ability to prioritize and organize multiple tasks with tight deadlines.
• Ability to manage multiple projects and priorities in a fast-paced, result-driven environment.
• Excellent independent problem-solving skills.
• Self-motivated with the ability to work with little supervision.
• Demonstrated track record of attention to detail.
• Required to attend additional training as requested/deemed necessary.

Benefits

• Generous vacation and sick time
• Market-leading paid family, parental and adoption leave
• Medical coverage
• Company paid life and AD&D insurance
• Disability programs
• Partially paid sabbatical program
• 401(k) employer match
• Stock purchase options
• Employer-funded retirement account
• Flexible, inclusive and collaborative work environment