[Remote] Operations Business Analyst IV

Note: The job is a remote job and is open to candidates in USA. CareSource is a healthcare management organization seeking an Operations Business Analyst IV to oversee business analysis initiatives aimed at enhancing operational excellence and efficiency. The role involves leading process improvements, aligning solutions with organizational strategy, and serving as a liaison between stakeholders and technical teams.ResponsibilitiesAssist in defining and implementing best practices for business analysis, ensuring alignment with enterprise architecture and long-term organizational goalsLead end-to-end process redesign initiatives, including feasibility studies, cost-benefit analyses, and ROI assessments to prioritize high-value projectsParticipate in the development of operational readiness frameworks for seamless implementation of new systems/processes, including policy documentation and post-launch performance trackingAct as the primary liaison between stakeholders, technical teams, and executive leadership to deliver high-impact outcomesResponsible for managing and maintaining policy and performance of claim lifecycle and implementation activities to ensure performance objectives are met including issue tracking and resolutionAdvise executive leadership on change management strategies, ensuring initiatives align with business objectives and regulatory requirementsPerform cost-benefit and return on investment analyses for proposed initiatives to aid decision-making process as well as collect and analyze data in support of business case creation and realizationEnsures operational effectiveness by assisting in strategic and business planning, including business, financial, and operational goals and objectives definition as well as feasibility studiesRecognizes and proactively manages scope and expected benefits across the organization’s strategic initiatives and process improvementsPerform operational readiness processes and associated documentation which may include creating, reviewing, revising and enforcing company and department policies and proceduresTake a leading role in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed informationDevelop, document and perform testing and validation as neededMentor Business Operations Analyst/Associates to achieve cross-functional capability with project execution and subject matter expertisePerform any other job duties as requestedSkillsBachelor's degree in business administration, healthcare management, a related field or equivalent years of relevant work experience is requiredSeven (7) years of health care operations experience in insurance, managed care, or related industry is requiredIn-depth knowledge of regulatory reporting and compliance requirementsAbility to effectively interact with all levels of management within the organization and across multiple organizational layersDemonstrates excellent analysis and collaboration skillsAbility to multi-task and juggle competing prioritiesExceptional communication (verbal and written), facilitation and presentation skillsStrong interpersonal, leadership and relationship building skillsCritical listening and thinking skillsCustomer service orientedEffective time management and prioritization skillsDecision making and problem solving skillsSix Sigma or other performance improvement experience is preferredBenefitsIn addition to base compensation, you may qualify for a bonus tied to company and individual performance.We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.Company OverviewCareSource provides managed care services to Medicaid beneficiaries. It was founded in 1989, and is headquartered in Dayton, Ohio, USA, with a workforce of 1001-5000 employees. Its website is https://www.caresource.com/.Company H1B SponsorshipCareSource has a track record of offering H1B sponsorships, with 20 in 2026, 29 in 2025, 39 in 2024, 35 in 2023, 21 in 2022, 37 in 2021, 28 in 2020. Please note that this does not guarantee sponsorship for this specific role.