Senior Client Services Representative - Healthcare Ops at Cedar Gate Technologies Inc

Glendale, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

09 May, 26

Salary

0.0

Posted On

08 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Claims, Workflow Analysis, Data Transfers, Business Analysis, Mathematics Skills, Communication Skills, Professional Discussions, Problem Solving, Use Case Creation, Regression Testing, User Acceptance Testing, Collaboration, Claims Administration, Process Documentation, Innovative Workflows, Value-Based Care

Industry

IT Services and IT Consulting

Description

Position Summary Reasons you will want this position: * Join our rapidly expanding company, where top performers unlock unlimited career growth and advancement opportunities. * Our culture actively values and rewards innovative ideas, particularly those that lead to better outcomes for all. * Your benefits package features comprehensive medical, dental, and vision coverage, and options for FSA, HSA, and 401K matching, and tuition assistance. Additionally, you will receive extensive paid time off, exclusive employee discounts, and more. * This is viewed as 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 As a Senior Client Services Representative - Healthcare Operations at Cedar Gate Technologies, an IQVIA business, you’ll be at the heart of our exciting growth journey in Bundle Solutions! You’ll create innovative workflows, document essential processes, and turn bundle definitions into powerful system configurations. This hands-on role is perfect for someone eager to dive into healthcare claims workflow analysis while collaborating with software development, implementation, IT, and claims operations teams. Working together, this team ensures a smooth client onboarding experience for all by meticulous testing plans, leading vibrant discussions with new bundle clients, and fostering creativity and teamwork among stakeholders. With your strong analytical and design skills, you’ll tackle various value-based care requirements, and the management team will look to you for visionary insights on workflow direction and project implementation. Each of your projects will present unique challenges and exciting opportunities for growth over several weeks to months. Get ready to make a difference in the healthcare industry. Roles & Responsibilities * Inspire the Value-Based Care Operations team by serving as a business leader and process expert, ensuring the successful design, documentation, and configuration of new bundles and their associated claims workflows. * Translate process updates and refine strategies to guarantee a smooth transition to claims administration. * Create use cases for all testing phases related to new value-based clients. * Execute regression testing and user acceptance testing, working with claims staff * Lead new initiatives for operating new value-based arrangements by collaborating with Product and Development teams throughout the software development life cycle. * Enhance and create claims-related tools to empower operational staff, ensuring efficient and effective usage in their daily tasks. Job Location: Fully Remote from within the U.S. Required Experience / Qualifications * At least 4 years of analysis experience working in healthcare, with some experience in healthcare claims * 2 or more years of experience in healthcare data transfers * 2 years of experience as a business analyst or in similar project-based delivery work * Strong mathematics and reasoning skills to solve complex problems effectively. * Communicate with clarity and confidence, tailoring your message to connect with any audience. * Engage in professional discussions to convey information with impact and influence. * Analyze the strengths and weaknesses of diverse solutions, making informed and decisive choices. * Hold a Bachelor’s degree in a related field or possess equivalent work experience to excel in your career. * Currently eligible to work in the U.S. without assistance in getting a future employment visa or work authorization. Preferences – Not Required * Capitation or Value-Based Care experience * Experience using Cedar Gate Technologies software, especially EZ-CAP 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 [http://www.cedargate.com].

Responsibilities

The Senior Client Services Representative will lead the design, documentation, and configuration of new bundles and claims workflows while ensuring a smooth client onboarding experience. This role involves collaborating with various teams to enhance claims-related tools and execute testing phases for new value-based clients.