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Freelance Remote Operations Analyst Jobs in Michigan

Huntington

Foreign Exchange Ops Analyst 2

Detroit, MI · On-site +1

Description The Foreign Exchange (FX) Operations Analyst supports the daily processing and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Foreign Exchange Ops Analyst 2

Columbus, OH · On-site +1

Description The Foreign Exchange (FX) Operations Analyst supports the daily processing and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

CSAA

Job Title Insurance Product Analyst IV, Product Intelligence - Remote Requisition Number R7956 ... Operations and others, to support the development, design, and implementation of new products ...

Select Minds LLC

Facets Analyst

Lansing, MI · On-site +1

$95K - $98K/yr

Remote - United States Work Hours: EST hours Employment: Full-Time Geographic Restrictions ... operations. * Provide functional expertise across Facets Claims, Accumulators, Payments, and ASO ...

TEKsystems

Epic RTE/Prelude Analyst

Detroit, MI · Remote

$70 - $85/hr

Remote Duration: Through End of 2026 Industry: Healthcare IT / Epic Patient Access Overview Our ... Collaborate with operational stakeholders to identify workflow improvements and resolve issues.

CSAA

Provides complex financial and operational analysis to senior management and internal clients. Uses ... Please note we are hiring for this role remote anywhere in the United States with the following ...

House Buyers of America

Valuations Analyst

Detroit, MI · Remote

Valuations Analyst- 100% Remote House Buyers of America is looking for a 100% remote Valuations ... driven operations to deliver speed, certainty, and consistent outcomes . House Buyers of America ...

House Buyers of America

Valuations Analyst

Detroit, MI · Remote

Valuations Analyst- 100% Remote House Buyers of America is looking for a 100% remote Valuations ... driven operations to deliver speed, certainty, and consistent outcomes . House Buyers of America ...

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Freelance Remote Operations Analyst information

What is a freelance remote operations analyst?

Freelance Remote Operations Analysts are independent professionals who support organizations by analyzing and optimizing business operations, often from a remote location. They use data analysis, process improvement techniques, and reporting tools to identify inefficiencies and recommend solutions. Working on a freelance basis, they may take on multiple clients or projects, providing flexibility for both themselves and the companies they assist. Their work often involves collaborating with different departments, streamlining workflows, and utilizing digital communication tools to stay connected with teams remotely.

How does a freelance remote operations analyst typically collaborate with clients and internal teams while working remotely?

As a Freelance Remote Operations Analyst, collaboration is primarily managed through digital communication tools such as email, video conferencing, and project management platforms. You'll frequently coordinate with clients to understand their operational needs, analyze workflows, and present data-driven recommendations. Regular check-ins and clear documentation are essential to keep all stakeholders aligned, especially since you may work across different time zones and with multiple clients simultaneously. Strong communication skills and proactive updates help ensure seamless teamwork and successful project delivery.

What are the key skills and qualifications needed to thrive as a freelance remote operations analyst, and why are they important?

To thrive as a Freelance Remote Operations Analyst, you need strong analytical skills, experience with process optimization, and a background in business operations or related fields. Familiarity with data analysis tools like Excel, Tableau, or SQL, along with remote collaboration platforms such as Slack or Asana, is typically required. Exceptional time management, communication, and problem-solving abilities help you stand out in a remote, self-directed work environment. These skills are crucial for delivering actionable insights, ensuring efficient operations, and maintaining effective collaboration despite working remotely.

What are popular job titles related to Freelance Remote Operations Analyst jobs in Michigan?

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What job categories do people searching Freelance Remote Operations Analyst jobs in Michigan look for?

The top searched job categories for Freelance Remote Operations Analyst jobs in Michigan are:

What cities in Michigan are hiring for Freelance Remote Operations Analyst jobs?

Cities in Michigan with the most Freelance Remote Operations Analyst job openings:

Freelance Remote Operations Analyst jobs near you

Senior Provider Network Operations Analyst

Southfield, MI • Remote

Amerihealth Caritas
Health Care and Social Assistance • 5 - 10K employees
Learn more about Amerihealth Caritasexternal

Full-time

Posted 8 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

Job description

Role Overview: The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider Network Operations and is responsible for operational accuracy, regulatory compliance, claims configuration, provider data, and related network operations.

Work Arrangement:

  • Remote - This position is fully remote; the associate must be located in Michigan (MI) and attend monthly meetings as needed in Southfield, MI.
  • Requires reliable high-speed internet (minimum 50 Mbps download / 5 Mbps upload)
  • Internet reimbursement may be available where required by law or contract

Responsibilities:

  • Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective edits/projects/recoveries.
  • User Acceptance Testing (UAT)/Client Review & audit (provider data, Appian Advanced Group ID (AGID) configuration, and set-up concentration) reviews requests prior to initial submission to Enterprise Operations (EO) and claims post-production.
  • Facets claims edit configuration concentration (Appian) – intake, review, impact assessment, and initial submission; UAT reviews requests prior to initial submission to EO and claims post-production.
  • Encounter error reconciliation representation, oversight, and management – including identification and initiation of claim or provider changes necessary to mitigate/prevent future errors.
  • Management and resolution of state complaints.
  • State policy and contract amendment changes analysis and management.
  • Internal or vendor medical policy or Health Value Optimization (HVO) edit changes and initiatives.
  • Monitor and review state communications and changes, lead initial analysis/determination of action, provide direction on work request submissions to level I analysts, and test/audit subsequent changes.
  • Business Process Outsourcing (BPO) and/or other intake/workflow tool management.
  • Single-case agreement management/ownership, including letter development and coordination with Provider Network Management (PNM).
  • Serves as the subject matter expert in state-specific health reimbursement rules and provider billing requirements and as liaison to the Enterprise Operations Configuration Department.
  • Maintain a current working knowledge of processing rules, contractual guidelines, state/Plan policy, and operational procedures to effectively provide technical expertise and business rules.
  • Acts as the resource to other departments by developing and managing work plans which document the status of key relationship issues and action items for high-profile providers.
  • Performs other related duties and projects as assigned

Education & Experience:

  • American Academy of Professional Coders (AAPC) certification (CPC, COC, CIC, CRC) or NHA (CBCS) certification required.
  • Associate’s degree preferred, or equivalent combination of education and experience in a healthcare field.
  • 3 to 5 years of claims analysis experience in healthcare, managed care, or Medicaid environment preferred.
  • Claims processing and Provider data maintenance knowledge required
  • Understanding of and experience related to healthcare claims payment configuration process/systems and its relevance/impact on network operations required
  • Strong working knowledge of Microsoft Excel, Access, Word, and other MS Office tools; ability to work with pivot charts, Access databases, and data analytics.

Skills & Abilities:

  • Ability to focus on technology and business issues, as well as communicate appropriately with both technology and business experts
  • Strong analytic problem-solving skills
  • Superior organizational skills required
  • Critical thinking skills
  • Strong customer service skills
  • Data and reporting analysis

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