- Responsible to perform highly complex technical and analytical work under limited supervision in support of developing and implementing strategic business solutions through research, audit, and analysis of data.
- Functions as a Content Expert/Business Lead on various projects and work assignments.
- This program includes the implementation of new technology to enable our people and processes to deliver a new model that will be efficient, cost effective and allow us to successfully execute our essential priorities making one of our products the number one choice for members, providers, and Department of Human Services.
- The Provider & Network workstream includes Provider Demographics & Affiliations, Networks, Directories, Pricing, Contracts, Settlements, Provider Credentialing, and identification of data analytic needs to support provider area.
- Directs and coordinates individual projects and related activities to ensure project progresses on schedule.
- Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
- Conducts in-depth research and analysis.
- Anticipate trends, emerging issues and recommend best practices to ensure maximum results and develops metrics.
- Develops integrated solutions to unique and highly complex problems.
- Recommends best practices to ensure maximum performance and develops performance measures.
- Documents performance measurements and process changes.
- Responsible for overseeing the process of representing the customer and/or stakeholder (internal/external) while collaborating with business and technical units.
- Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.
- Expert working knowledge of analysis, design, development, testing, debugging, implementation, maintenance and/or enhancement of new or existing systems through reporting and documentation.
- Recognized expert within the function, the division, and the organization.
- Facilitates project teams and may provide training to lower-level workers to achieve milestones and objectives.
- Maintains adequate communication regarding project process, status, risks, issues, and priorities with project sponsors and leadership.
- Bachelor’s degree in business and 7 years of analytical experience or 11 years of related experience in lieu of a degree.
- Expert collaborative, interpersonal, oral, and written communication skills and demonstrated ability to develop accurate and appropriate communications to all levels of management.
- Strong experience with the MS Office suite.
- Exceptional research, analytical and problem-solving skills.
- Expert level ability to make decisions based on analysis and business needs.
- Exceptional ability to work in high paced environment, handling multiple responsibilities and projects.
- Expert ability to build cross functional relationships, which includes negotiation and persuasion skills.
- Expert analytical, conceptual, and logic skills to take high-level business product concepts and translate to operational level business models.
- Agile/Jira experience
- Health Insurance experience
- Regulatory and Compliance experience
- Quality Metrics experience
Horizontal is proud to be an Equal Opportunity and Affirmative Action Employer. We seek to provide employment opportunities to talented, qualified candidates regardless of race, color, sex/gender including gender identity and/or expression, national origin, religion, sexual orientation, disability, marital status, citizen status, veteran status, or any other protected classification under federal, state or local law.
In addition, Horizontal will provide reasonable accommodations for qualified individuals with disabilities. If you need to request a reasonable accommodation in order to complete the application or interview process, please contact hr@horizontal.com.
All applicants applying must be legally authorized to work in the country of employment.
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