Job Title: Clinical Business Operations Analyst
Exempt Status: Exempt
Reports to: Director, Clinical Business Operations
Episource, with over 3,000 employees worldwide, is a leading provider of risk adjustment services and solutions for health plans. Our services help Medicare Advantage, Commercial/Exchange, and Medicaid managed care plans improve and support accurate reimbursement in a post-Affordable Care Act market. Our services include retrospective chart reviews, medical record retrieval, HEDIS/ACO quality reporting, and data analytics, allowing payers and providers to dramatically reduce costs and improve quality of care.
The Clinical Business Operations Analyst is responsible for the implementation and delivery of assigned client projects within the Health Risk Assessment (HRA) business. The Clinical Business Operations Analyst works with the Clinical Business Operations Manager to lead new project implementations for HRA clients, oversee project forecasting and performance, and assist with management of third-party vendors. The Clinical Business Operations Analyst will interface with key external and internal stakeholders, including clients, account management, data operations, clinical services, outreach, and coding, to ensure successful implementation and delivery of HRA projects. The Clinical Business Operations Analyst may also contribute to ongoing operations improvement initiatives led by the Director of Clinical Business Operations.
Responsible for contributing to an upbeat, positive and productive work environment with exceptional communication skills. Participates in the development and implementation of reporting and business processes to meet/surpass goals of HRA client projects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
EEO POLICY STATEMENT:
Episource, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Episource, LLC complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training.
Episource, LLC expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Episource, LLC employees to perform their expected job duties is absolutely not tolerated.