Be an early applicantLess than 25 applicants

Company

Capital Rx · 2 days ago

Government Programs Senior Operations Analyst

United States

Full-time

Remote

Senior Level

$80K/yr - $100K/yr

5+ years exp

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Health CareMedical

H1B Sponsor Likely

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Responsibilities

Supports Capital-Rx in meeting and maintaining performance metrics as defined by client and regulatory guidelines – Including but not limited to encounter and PDE submissions

Drives root-cause-analysis and resolution of PDE/encounter data issues/errors by partnering with key stakeholders to correct and resubmit data

Supports analytical, problem-solving functions by defining and documenting specifications pertinent to all departmental processes

Monitors for changes in existing business processes and updates documentation accordingly - Identifies new opportunities for process developments and improvements

Proactively reviews business processes and data to develop subject matter expertise of processes supported by our team

Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery, and cost savings regulations are met

Prepares high-level user documentation and training materials as needed

Collaborate with compliance to interpret and translate government reporting requirements into actionable recommendations/outputs

Support encounter and PDE submission process by analyzing complex encounter data using data from internal and external sources

Develop and establish PDE/encounter performance metrics for client and leadership distribution

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare data experienceGovernment programs experienceSQLRPythonBusiness process analysisTableauExcelData visualization toolsCross-functional collaborationPharmacy processesMedicare experienceMedicaid experienceMarketplace Exchange programsProject management

Required

5+ years of healthcare data experience

5+ years of proven experience in government programs

3+ years of experience working with SQL, R, or Python

3+ years of business process analysis, preferably in healthcare

Experience working with cross-functional teams

Experience with Tableau, Excel, and other data visualization tools

Ability to balance multiple complex projects simultaneously

Extremely flexible, highly organized, and able to shift priorities easily

Attention to detail & commitment to delivering high-quality work product

Preferred

3+ years of experience working with pharmacy processes

Experience with Medicare, Medicaid, and Marketplace Exchange programs

Company

Capital Rx

Capital Rx is a healthtech platform that provides pharmacy benefit management solutions.

Founded in 2017

New York, New York, USA

501-1,000 employees

https://cap-rx.com

H1B Sponsorship

Capital Rx 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

2023 (1)

2022 (1)

2021 (5)