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We provide no-and low-cost health insurance in NYC, Long Island, Orange, Rockland, Sullivan, and Westchester counties.
PDO Operations Analyst
Location
Connecticut + 2 moreAll locations: Connecticut | New Jersey | New York
Posted
116 days ago
Salary
$58.9K - $80.1K / year
Seniority
Mid Level
Job Description
PDO Operations Analyst
Healthfirst
• Analyze provider data workflows to identify inefficiencies, rework, and process gaps. • Recommend and implement scalable solutions to improve turnaround times and reduce manual effort. • Support initiatives focused on operational excellence and continuous improvement. • Perform reconciliation of provider data across systems (e.g., PDM, Atlas, MHS, HRP). • Identify discrepancies, conduct root-cause analysis, and partner with stakeholders to resolve issues. • Ensure data integrity, consistency, and alignment across platforms. • Participate in QA and UAT testing to validate provider data accuracy and system enhancements. • Document findings and support issue resolution prior to production deployment. • Analyze provider data trends and develop insights to support informed decision-making. • Prepare reports and dashboards highlighting risks, performance metrics, and improvement opportunities. • Develop and maintain job aids, standard operating procedures, and training materials. • Support knowledge-sharing initiatives to improve consistency and team effectiveness.
Job Requirements
- High School Diploma or GED from an accredited institution required; Associate’s or Bachelor’s degree in Business, Healthcare Administration, Data Analytics, or related field preferred.
- Experience working in Microsoft product suite, including Outlook, Word, PowerPoint and Excel
- Advanced Excel skills, including the ability to manipulate and create spreadsheets; standardize reports across multiple worksheets; utilize VLOOKUPs, XLOOKUPs, formulas, and functions; create, interpret, and analyze pivot tables; and apply filtering, conditional formatting, and data validation techniques to generate accurate and meaningful results.
- 2–4+ years of experience in healthcare operations, provider data management, or process optimization.
- Experience analyzing data trends and identifying inconsistencies or discrepancies across systems.
- Ability to perform data reconciliation and root-cause analysis to resolve operational issues
- Experience working in cross-functional environments and collaborating with multiple stakeholders.
- Strong written and verbal communication skills, including the ability to document processes and present findings clearly.
- Ability to manage multiple priorities in a fast-paced environment.
- Experience in managed care or provider network operations.
- Familiarity with PDM, provider onboarding workflows, or credentialing processes.
- Experience supporting QA/UAT testing initiatives.
Benefits
- medical, dental and vision coverage
- incentive and recognition programs
- life insurance
- 401k contributions
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