Insight Global is seeking a Performance Guarantee/Enterprise Process Analyst for a large healthcare client. The Performance Guarantee (PG) Analyst collaborates with other analysts on the PG Team to support the setup and reporting of client performance requirements. This position supports PG related activities for new and existing clients by participating in the development of PG reports and analytical dashboards that align with strategic imperatives.
Responsibilities include the following:
Support the monthly close processes for all clients and lines of business; assist with penalty calculation validations for missed and forecasted performance guarantees; coordinate with data-stagers and red-light responders on missing or questionable data entries, and collaborate with responders to ensure responses are acceptable for client visibility
Participate in the maintenance and documentation of PG processes and procedures; identify and help implement process improvements
Support the intake of client PG changes (new contracts, renewals, terminations) into the Performance Quality Management (PQM) system that includes the setup of metrics and targets to measure PG success and validating setups completed by other team members
Assist in identifying and validating new and renewing mid-market contracts and create PG setup reports as part of the PG intake process
Research audit requests
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HR@insightglobal.com.
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-Bachelors degree in business or related area of study, or equivalent combination of education and/or relevant work experience; HS Diploma or GED is required
-2 years of work experience interpreting contractual or process requirements, data validation, data analysis and/or managing end-to-end projects related to quality metrics and/or performance
-Pharmacy Benefit Management (PBM) or healthcare industry experience
-Proficient in Microsoft Word, Excel, Power Point, and Visio
-Strong verbal and written communication skills, including previous experience giving presentations
-Capable of handling multiple projects simultaneously and ability to work under pressure with strict timelines
-Analytical skills with attention to detail
-Familiarity with project management concepts, competencies and skills
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.