Health Plan Operations Analyst, Michigan Residency Required

Position Summary

The Operations Analyst combines executive-level support with hands-on operational execution to advance the strategic and day-to-day priorities of the health plan. This role provides end-to-end support for organizational initiatives and process improvements across all functions of the health plan. This individual will work with leaders across all departments to ensure operational compliance, alignment on goals, and timely execution of priority initiatives. The role manages executive-level communications, prepares leadership materials, completes special assignments, and supports high-visibility projects that require discretion, accuracy, and professionalism. Respondstoinquiries, provides information, and independently resolves basic problems. Responsible for assisting in development of operating policies and procedures, taking and maintaining minutes of various committees, posting of announcements, andcompilingandmaintainingrecurring andmiscellaneous reports. Acts as a liaison with internal and external departments.

This role requires strong analytical, communication, and problem-solving skills, along with knowledge of healthcare systems and Medicaid policies specific to Michigan.

This is a hybrid position with requirements to come onsite as scheduled, Flint, MI.

Equal Opportunity Employer of Minorities / Females / Disabled / Veterans

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Qualifications : Required :

AssociateDegreeinBusinessAdministration,Healthcare Administration,orotheradministrative support area; or High School diploma and two (2) years’ experience in a related field.

Twoyears’experienceinanofficeenvironmentrelatedtocustomerservice.

Proficiencywithcomputerapplications,MS-Office, automationtools,andother software applications associated with Operations department functions.

Preferred :

Bachelor’s DegreeinBusinessAdministration,Healthcare Administration,orrelated field.

Experience and knowledge of HMO, PPO, TPA, and Managed Care functions (e.g. quality improvement, regulatory compliance, utilization management, care management, claims processing, payment integrity, enrollment / eligibility, EDI, provider contracting, and risk arrangements).