CareSource · 19 hours ago
CCA Clinical Ops
Boston MA Office (Winter)
Full-time
Onsite
Entry, Mid Level
$72K/yr - $116K/yr
2+ years expCareSource is a healthcare organization dedicated to improving the health of its members. The Clinical Operations Business Analyst is responsible for developing reports and analytics to enhance operational functionality and lead process improvement initiatives.
Health CareMedicalNon Profit
Responsibilities
Engages with stakeholders to understand current processes/systems and pain points as well as elicit detailed business needs of/gather requirements for reports and tools
Develops reports by querying the database using SQL or any related programming language and analyzing data to ensure accuracy
Promote new and innovative recommendations to improve accuracy reporting such as robotic process automation (RPA)
Creates visualizations using Tableau, Looker, Excel
Analyzes large sets of data, summarizes, and presents results
Develops and analyzes quantitative and qualitative data to meet compliance and operational needs, supporting different departments such as Assessments, Authorizations, Appeals and Grievances, Claims, etc
Partners with clinical operations management to develop and review workflows, to streamline processes and increase efficiency
Generates insights and develops recommendations for solutions
Creates Visio diagrams or other visualizations to use in prototype review sessions
Plays a role in developing and managing major clinical operations analytic projects
Serves as liaison between Business Intelligence team and various departments within Clinical Operations, translating the business needs into BI requirements for reports, dashboards, and tools
Performs any other job related duties as requested
Qualification
Required
Bachelor's Degree in information systems or related quantitative field required (Finance, Business, Computer Science, Mathematics, Economics, or similar) required
Equivalent years of relevant work experience may be accepted in lieu of required education
Two (2) years SQL Server programming experience required
Two (2) years of experience with BI products like, Tableau, Alteryx, Looker required
Two (2) years of analytical experience with data or statistical analysis in healthcare industry required
Advanced knowledge of Excel, including use of Pivot tables, and SQL
Strong math and analytical skills
Strong understanding of financial concepts
Ability to establish and maintain positive and effective work relationships with internal staff, external vendors, and state and federal agencies
Proven ability to translate business needs into BI requirements
Proven skills and judgment necessary for independent decision-making
Strong organizational, time-management and problem-solving skills
Ability to work independently and within a team environment
Strong communication skills both written and verbal
Critical listening and thinking skills
Preferred
Experience with robotic process automation (RPA)
Managed care/provider contract modeling experience
Benefits
You may qualify for a bonus tied to company and individual performance.
Substantial and comprehensive total rewards package.
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
1001-5000 employees
H1B Sponsorship
CareSource has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (30)
2024 (39)
2023 (35)
2022 (21)
2021 (37)
2020 (28)
Funding
Current Stage
Late StageLeadership Team
Erhardt Preitauer
President & Chief Executive Officer
Larry Smart
Chief Financial Officer
Recent News
Dayton Daily News
2025-12-17
Dayton Daily News
2025-11-19
Company data provided by crunchbase