Analyst, Member Services at ArchWell Health

Nashville, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

31 May, 26

Salary

0.0

Posted On

02 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Root Cause Analysis, Provider Data Management, Member Assignment, Data Analysis, Critical Thinking, Healthcare Experience, Data Visualization, Contract Interpretation, MS Excel, PivotTables, Project Management, Communication, Independent Research, Problem Solving, Stakeholder Management

Industry

Hospitals and Health Care

Description

Job Summary: The Analyst, Member Services will play a key role in supporting analytical needs across ArchWell Health’s member services team. This will be a colleague who is motivated by the challenge of solving complex problems, conducting root cause analysis, and driving toward resolution. They will support the operational functions related to provider data management and member assignment. An ideal candidate will have technical acumen and a problem-solving mindset, with an interest in growth within healthcare operations. Duties/Responsibilities: Identify, monitor, and analyze member assignment by market to identify outliers and trends Research member assignment issues, analyze data, present results, and recommend solutions to address business challenges by applying knowledge of member assignment, critical-thinking skills, and healthcare experience/expertise Analyze membership to identify early signs of trends or other issues related to payor errors in reporting Structure analytical results in an organized, visual manner to tell a meaningful, actionable story to cross-functional stakeholders Interpret contractual language with a clear understanding of business rules around member attribution Execute other duties and special projects as needed, focusing on knowledge and skills development Required Skills/Abilities: Demonstrated ability to conduct independent research and present solutions to complex problems Ability to work both collaboratively and independently to complete complex analyses, leading to actionable strategic and financial business decisions Strong critical thinking skills to anticipate questions from key stakeholders and consider all aspects of an analysis before completion Exhibit initiative in exploring and discovering opportunities to improve company performance through data analysis Strong communication skills with the ability to explain complex problems succinctly and effectively for all levels of leadership Ability to establish trusting, professional relationships with internal, senior stakeholders Willingness to learn and tackle new problems and opportunities as they arise Ability and willingness to travel on occasion (up to 5%) Minimum Qualifications: Bachelor's degree strongly preferred; equivalent experience will be considered in lieu of degree 1-2 years of experience preferred, with new graduates welcome to apply Expertise in MS Excel, including proficiency using formulas, PivotTables, graphing and other reporting and presentation features Project management and communication skills Experience in consulting, managed care, and/or healthcare provider/payer settings (preferred) Embodies and serves as a role model of ArchWell Health’s Values: Be compassionate Strive for excellence Earn trust Show respect Stay resilient Always do the right thing About ArchWell Health: At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Responsibilities

The Analyst, Member Services will support analytical needs for member services, focusing on solving complex problems, conducting root cause analysis, and driving resolution related to provider data management and member assignment. Key duties include monitoring member assignment by market to identify trends, researching assignment issues, analyzing data, and presenting actionable solutions to cross-functional stakeholders.