Operations Analyst Jobs in Lancaster, NY (NOW HIRING)

Great Lakes Integrated Network, IPA is looking for a full-time Business Operations Analyst to join the team in Buffalo, New York!

The Business Operations Analyst is responsible for the oversight, collection, maintenance, and validation of GLIN provider network data and for providing reports and analyses for internal and external business partners

Scope of duties includes but not limited to; data management; data validation; development, deployment and analysis of reports, supporting both Payer & Provider Contracting and Finance & Analytics teams.

The position requires that the individual be highly organized, detail oriented, have strong Excel skills, & some experience with query languages such as SQL.  The position requires collaboration with other GLIN departments and external healthcare partners such as physician practices, hospital systems, and health insurance companies, problem solving/decision making skills, and strong business acumen.

Essential Functions:

• Consistently observes safety and security procedures.  Reports potentially unsafe conditions to appropriate personnel.
• Manage, maintain, and validate GLIN’s provider network roster, including physicians, mid-levels, ancillary providers, and facilities, ensuring accuracy, integrity, and timely updates; perform routine provider data updates
• Review and reconcile health plan and health system rosters submitted to GLIN IPA, updating records as necessary to maintain network accuracy 
• Collaborate with provider system partners to collect, manage, verify, and integrate provider data into the GLIN system to ensure GLIN provider data accuracy
• Prepare and deliver monthly provider roster reports for payers, as well as ad-hoc reports upon request, using SQL and as needed.
• Support provider enrollment and compliance for government programs, including: provider/practice communications, requirements tracking, deadline management, preparation of annual and monthly submissions, and production of agreements, attestations, and provider/practice correspondence to meet regulatory standards.
• Develop and foster internal relationships across the organization. Provide ad hoc analytic and consultative support to internal departments and external business partners as requested
• Support maintenance of practice-level reference and contact information (e.g., decision-makers, payment contacts, practice managers, credentialing leads) to support effective communication.
• Perform additional responsibilities and projects as assigned.
• Support and at times lead special projects and ongoing performance improvement, growth, and population health initiatives across the enterprise
•  Support distribution of standard provider contracts and contract notifications to the GLIN network via Docusign as needed.
• Under supervision, supports the creation & implementation of methodologies using multiple techniques to forecast the financial performance of value-based contracts
• Provide reasoning for variances and make recommendations relative to the accounting of reserves, assets, ad expenditures

Education and Experience/Certification or License:

Education

• Associates Degree Business Administration or IT Systems Required
• Bachelor’s Degree Bachelor’s degree in business or related field or comparable work experience with a healthcare, business, or technical focus Preferred

Experience/Certification

• Experience working in operations within a  health care provider office or a health insurance company preferred.
• Knowledge of current and future trends in health care reimbursement, & population health preferred.
• PC skills - demonstrated proficiency in Microsoft Office applications and project management software, such as Word, Excel, PowerPoint, Visio, and Project required

Knowledge, Skills, and Abilities:

• Analytical - Synthesizes complex and diverse information to drive informed decision-making. Collects and researches data effectively, leveraging intuition and experience to enhance insights. Designs efficient workflows and procedures to optimize processes and outcomes.
• Problem Solving - Proactively identifies and resolves issues in a timely and efficient manner. Demonstrates strong analytical skills to gather and assess information, develop alternative solutions, and collaborate effectively in group problem-solving situations. Applies sound reasoning and judgment, even in emotionally charged discussions.
• Project Management - Coordinates projects; Communicates changes and progress; Completes projects on time and budget; supports project team activities
• Technical Skills - Continuously evaluates personal strengths and areas for growth. Actively seeks training and development opportunities to enhance expertise. Strives for ongoing skill building and knowledge expansion while sharing insights with colleagues.
• Patient/Customer Service - Manages difficult or emotional patient/customer situations; Responds promptly to patient/customer needs; Solicits feedback to improve service; Responds to requests for help and assistance; Meets commitments
• Interpersonal - Focuses on resolving conflicts constructively without assigning blame. Maintains confidentiality and demonstrates active listening without interruptions. Keeps emotions under control, remains receptive to new ideas, and embraces innovative approaches.
• Oral Communication—Communicates clearly and effectively in both positive and challenging situations. Listens attentively, seeks clarification when needed, and responds thoughtfully. Excels in group presentations and actively contributes to discussions in meetings.
• Teamwork —Effectively balances individual and team responsibilities. Demonstrates openness to diverse perspectives and provides and welcomes constructive feedback. Fosters a collaborative team environment, prioritizing collective success over individual recognition. Builds morale, strengthens team commitment, and acknowledges the contributions of others.
• Written Communication - Produces clear, concise, and informative written materials. Ensures accuracy in spelling and grammar and adapts writing style to various audiences. Effectively presents numerical data and interprets written information with precision.
• Change Management - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results
• Quality Management - Seeks opportunities to improve processes, products, and services. Maintains high standards of accuracy, thoroughness, and excellence in all work.
• Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals
• Ethics - Operates with integrity, treating all individuals with respect. Fulfills commitments, inspires trust, and upholds organizational values. Acts ethically in all professional interactions and decision-making.
• Organizational Support - Adheres to company policies and procedures while completing administrative tasks accurately and on time. Actively supports organizational goals and values, contributes through external initiatives, and fosters an inclusive and diverse workplace.
• Adaptability - Thrives in dynamic environments by adjusting to changes, managing competing priorities, and modifying approaches to fit evolving circumstances. Maintains composure and effectiveness in the face of change, delays, or unexpected challenges.
• Dependability - Follows instructions and responds well to management direction. Takes accountability for actions, honors commitments, and remains dedicated to long hours of work when necessary to reach goals. Completes tasks on time or notifies the appropriate person with an alternate plan.
• Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed
• Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention
• Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions
• Motivation - Set and pursue ambitious goals with determination and persistence. Demonstrates resilience in overcoming obstacles, maintains a high standard of excellence, and takes strategic risks to drive success.
• Planning/Organizing - Efficiently prioritizes tasks and allocates time and resources effectively. Establishes clear goals and objectives, develops actionable plans, and coordinates efforts or schedules to optimize productivity and team performance.
• Quality - Strives for excellence through accuracy, thoroughness, and continuous improvement. Seeks and applies feedback to enhance performance and monitors work to ensure high-quality results.
• Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly
• Safety & Security - Adheres to safety protocols and takes appropriate actions beyond standard guidelines when necessary. Identifies and reports potential safety hazards while ensuring proper use of equipment and materials.

We offer an outstanding benefits package including health, dental, 401K, vacation, PTO, and a great working environment. 

Location: Buffalo, New York (hybrid)

Pay range $62,353.20 - $85,849

The referenced pay range represents the minimum and maximum compensation for this job.  Individual annual salaries/hourly rates will be set within the job’s compensation range and determined by considering factors including, but not limited to, market data, education, experience, qualifications, and expertise of the individual, as well as internal equity considerations.

Equal Employment

Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads New York in provider and patient satisfaction. Great Lakes Integrated Network IPA (GLIN IPA) values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of our communities, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged.

Great Lakes Integrated Network is an Equal Opportunity Employer