[Remote] Supervisor Operations Reporting Analyst CHC

Note: The job is a remote job and is open to candidates in USA. AmeriHealth Caritas is a mission-driven organization with over 30 years of experience in healthcare solutions. They are seeking a Supervisor Operations Reporting Analyst to lead a team responsible for regulatory reporting and data analysis within the Pennsylvania Community Health Choices program, ensuring compliance and quality improvement. The role involves overseeing reporting deliverables, fostering team engagement, and collaborating with various departments to enhance community health outcomes.ResponsibilitiesAs part of the Pennsylvania Community Health Choices (CHC) health plan team, the Operations Reporting Analyst Supervisor is responsible for the oversight of and leadership for the Operations Reporting Analyst team and reporting deliverablesThe Operations Reporting Analyst team is responsible for the completion of the Service Coordination and other business area components of our regulatory operations reporting process through the completion, improvement and validation of existing state mandated reporting requirements while maintaining a high level of accuracy, integrity and timeliness of data reportsFosters team engagement and growth through consistent coaching, mentorship, and performance evaluations, supporting career development while addressing performance gaps in a timely and effective mannerExecutes organizational efforts in ongoing quality improvement processes to ensure compliance with State, Federal, regulatory and accrediting body’s standard requirements and statutory reporting policies and proceduresDevelops and maintains a complete understanding of all data sources available for reporting on CHC Service Coordination and other related requirementsDevelops and maintains strong knowledge of business practices and the managed care industry in general and applies knowledge to determining data and report solutionsLeads team in completing all regulatory reporting requirements assigned, accurately and meeting all deadlines. Failure to do so may result in the company incurring financial penalties, decreased satisfaction by regulator/stakeholders, and compromised relationship with state or other regulatory agenciesConducts audits of all Operation Reports including data validation, documentation, quality and timeliness using trending, benchmarking or other analyses to ensure data integrityMaintains electronic and paper documentation supporting the completion of each report for each reporting period within departmental guidelinesIdentifies, resolves and/or escalates problematic Ops Reporting areas that may place plan at risk of not achieving ongoing goalsLeads team in ensuring reporting is accurate and timely, as well as identifies and researches problem areas that potentially compromise accuracy or integrity of the data reportedServes as a resource to other departments in completing Ops Reporting requirements and goalsWorks professionally, collaboratively and efficiently with all functional areas in meeting organizational and departmental goalsResponsible for providing input into the development of Ops Reporting projects and accountable for the execution and documentation of those projects ensuring identification of root cause; with the assistance of the CHC Health Plan and Regulatory Reporting leadership to establish work plans to implement interventionsLeads team in the implementation of interventions aimed at improving quality performanceResponsible for creation and submission of state reporting documentation of activities and projects within his/her scope of responsibility and in collaboration with leadership and Regulatory ReportingUses data and analysis tools to identify opportunities for improved performance and collaborates with the team, Service Coordination leadership, health plan leadership and Regulatory Reporting to develop intervention strategiesRemoves barriers to achieve successful completion of strategic projectsConducts analysis and provides summary reports and insights to senior managementOther duties as assignedWorks in a collaborative manner with all providers, members, departments within the AmeriHealth Caritas Family of Companies to conduct ongoing process and data review to identify opportunities for improvementPerforms ad-hoc analysis of any underperforming or “broken” processes by collaborating with Subject Matter Experts and/or Customers to define existing processes and make recommendations for improvementResponsible for the management and development of new and existing staffSkillsBachelor's Degree1 to 3 years leadership experienceMinimum of 3 years in service quality improvement or service coordination requiredMinimum of 3 years in human service delivery requiredProficient PC skills in a windows-based environment, with a strong emphasis on demonstrated moderate-to-expert proficiency using Microsoft ExcelExcellent organizational, analytical and interpersonal skillsExcellent written and verbal communication skillsManaged Care Organization (MCO)/health plan experienceAdvanced/expert proficiency in MS Excel and other data validation tools (MS Access, Power BI or other platforms)Direct, applicable experience in the PA Community HealthChoices (CHC) or HealthChoices (HC) Medicaid programsLocation in the greater Philadelphia metro areaBenefitsFlexible work solutions including remote optionsHybrid work schedulesCompetitive payPaid time off including holidays and volunteer eventsHealth insurance coverage for you and your dependents on Day 1401(k)Tuition reimbursementCompany OverviewAmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill. It was founded in 1982, and is headquartered in Philadelphia, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is http://www.amerihealthcaritas.com.