Operations Analyst

Job Overview

What You'll Do

• Support day-to-day operations of the Medical Management platform, ensuring data accuracy, system reliability, and timely resolution of operational issues.
• Monitor inbound eligibility, medical, pharmacy, vision, and census files; evaluate processing outcomes and take corrective action when files are delayed, incomplete, or fail validation.
• Prioritize incidents, requests, and data issues based on client impact, system risk, and operational urgency, using independent judgment.
• Troubleshoot and resolve data and system issues affecting reporting, eligibility, claims processing, and workflows.
• Set up new clients and maintain existing configurations, including data feeds, system settings, and ongoing support needs.
• Coordinate with external partners and internal teams to resolve file delivery issues, clarify data questions, and manage timelines, escalating when appropriate.
• Create and maintain templates, client/member communications, and documentation; use SQL, R, and other tools to analyze data, track work, and identify process improvements.

Qualifications

• Associate’s degree in Computer Information Systems or related field (or equivalent experience)
• Experience in technical support, operations, or data-focused roles
• Proficiency with Excel, Outlook, and SQL required
• Experience with R, Power BI, or Tableau is a plus
• Exposure to healthcare data (claims, eligibility, etc.) preferred
• Familiarity with EDI or file-based data processing is a plus
• Strong problem-solving skills and ability to prioritize multiple tasks

About Cottingham & Butler’s Health and Wellness Division

Cottingham & Butler’s Health and Wellness division was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.

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