Analyst, Member Services

Job Description

JOB DETAILS

REQUIREMENTS

• Bachelor’s degree strongly preferred; equivalent experience will be considered in lieu of degree
• 1-2 years of experience preferred, with new graduates welcome to apply
• Expertise in MS Excel, including proficiency using formulas, PivotTables, graphing and other reporting and presentation features
• Project management and communication skills
• Experience in consulting, managed care, and/or healthcare provider/payer settings (preferred)
• Embodies and serves as a role model of ArchWell Health’s Values:
• Be compassionate
• Strive for excellence
• Earn trust
• Show respect
• Stay resilient
• Always do the right thing

RESPONSIBILITIES

• Identify, monitor, and analyze member assignment by market to identify outliers and trends
• Research member assignment issues, analyze data, present results, and recommend solutions to address business challenges by applying knowledge of member assignment, critical-thinking skills, and healthcare experience/expertise
• Analyze membership to identify early signs of trends or other issues related to payor errors in reporting
• Structure analytical results in an organized, visual manner to tell a meaningful, actionable story to cross-functional stakeholders
• Interpret contractual language with a clear understanding of business rules around member attribution
• Execute other duties and special projects as needed, focusing on knowledge and skills development

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