Associate, Inquiries and Investigations

What you'll do

• Manage end-to-end implementations and data corrections, including project plans, stakeholder engagement, and edge-case mitigation.
• Analyze performance data, establish metrics, and implement quality and financial risk mitigation strategies.
• Investigate risks and escalations with stakeholders and drive continuous improvement through production release.

What they ask for

• Bachelor's degree or 3+ years of commensurate experience.
• 3+ years of professional experience in provider data or provider network operations within a health insurance company.
• 2+ years using data software such as Excel, SQL or other data analytics tools.
• 2+ years of experience in each of: end-to-end project management; designing and improving workflows and related procedures; developing and presenting recommendations to Senior Leadership.

Nice to have

• Bachelor's degree in Engineering, Business Administration, or a related field; Lean Six Sigma Green Belt certification or higher.
• 2+ years using process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints; ACA marketplace, provider network, claims, healthcare quality, or provider data experience.

Pay

$96,876 - $127,149 per year (base salary)

Tools

Excel, SQL

AI focus

AI is mentioned only in the company's candidate-use guidelines and recruiting support; no AI work is specified for this role.