Operations Analyst

Position Summary

Reasons you will want this position:

• We are a rapidly growing company, with limitless career growth and advancement for top performers
• Our culture appreciates and rewards creative ideas especially those that achieve better outcomes for everyone
• Offer a variety of benefits including medical, dental, vision, FSA, HSA, ST/LT disability, 401K employer contribution, and more
• This is viewed a key position for our continued success by our executives and senior leadership.
• Work where you are most productive: from home, in the office, or hybrid.

Summary
This position will assist in rapid growth by designing workflows, documenting, and translating bundle definitions into system configuration required for successful administration. This position is hands on and will require “rolling up of sleeves” by leading claims and workflow analysis, working with the implementation, IT, and operational teams, and testing of all key elements throughout the phases of the onboarding cycle necessary to turn over to the operational claims team. Position will lead process discussions for new bundle clients, working collaboratively with all parties. Individuals in this role shall apply analytical and design skills across a range of value-based care requirements. The Management team will look to this person to provide workflow direction, provide detailed requirements, and guidance through the design and project implementation decisions. Project durations will vary from several weeks to several months.

Roles & Responsibilities

• Serve as a business team leader within the Ops organization and process expert to ensure the successful design, documentation and configuration of new bundles and associated claims workflows
• Responsible for translating and planning process changes to ensure seamless transition to claims administration
• Design use cases for all testing phases around new value-based clients
• Execute regression testing and UAT working with claims staff
• Develop and maintain claims related tools for operational staff usage
• Lead any new efforts, working with Product or DevOps that may be required for operating new value-based arrangements
• Synchronize activities across multiple projects
• Special tasks as required

Required Experience / Qualifications

• 4+ years analysis in healthcare with some experience in healthcare claims
• 2+ years of experience in project-based delivery work as a business analyst
• 2+ years of experience in healthcare EDI transactions
• Experience in analysis for Microsoft based custom development projects
• Strong mathematics and reasoning ability to solve problems
• Clear communication in writing and verbally tailored to the level of your audience
• Ability to speak professionally with others to convey information effectively
• Capable of identifying the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems
• Competent in Microsoft Word, Excel, Project, and Visio
• Bachelor’s degree in related field or equivalent work experience

Your Future Working Environment

If you join Cedar Gate, you can make great ideas happen for some of the world's most dynamic companies. With broad global resources and deep technical know-how, we collaborate with clients to cultivate ideas and deliver results in the medical industry. Choose a career at Cedar Gate and enjoy an innovative environment where challenging and interesting work is part of daily life.

Next to our excellent terms of employment and fringe benefits, we invest considerable resources to provide ongoing training that builds and extends professional, technical, and management skills in all areas. At Cedar Gate, you will operate in a professional environment where teamwork and innovation are immensely encouraged. Together with colleagues, you will work on high-impact projects for many dynamic companies.

About Cedar Gate

Cedar Gate enables payers, providers, employers, and service administrators to excel at value-based care. Our unified technology and services platform enhances and automates data management activities to deliver employer and provider analytics, care management, and payment technology necessary to pursue every payment model and optimize performance in all lines of business. From primary care attribution to bundled payments to capitation, our platform is designed to improve clinical, financial, and operational outcomes for all.

Based in Greenwich, CT, Cedar Gate is private equity-backed by GTCR, a leading Chicago-based private equity firm, Ascension Ventures, a strategic healthcare venture firm, and Cobalt Ventures, the investment subsidiary of BCBS of Kansas City. To learn more, visit www.cedargate.com.