Job Description

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
JOB SUMMARY:
An OON Analyst is essential for ensuring a company's daily operations run smoothly and efficiently. Their role involves a range of tasks, including managing workflow distribution, claim reassignment, data tracking, daily reporting, and maintaining standard spreadsheets. They also provide support and oversight to various departmental queues. Serving as a key link between departments, the OON Analyst plays a pivotal role in achieving the organization's operational goals and promoting growth.
JOB ROLES AND RESPONSIBILITIES:

1. Operational Documentation and Consistency
• Design and maintain clear operational guides to ensure consistent processes.
• Assist in coordinating day-to-day operations to ensure effective and efficient delivery service.
2. Workflow and Claims Management
• Manage manual distribution of claims or workflow when automated systems are unavailable.
• Track the completion and outcomes of assigned tasks within the team.
• Investigate queue and reporting workflows for efficiency improvements and distribution opportunities.
• Manage schedules, meetings, and communications, ensuring proper documentation and timely follow-ups.
3. Data Analysis and Reporting
• Research historical performance to provide analytics on team outcomes.
• Maintain departmental reports to increase claim monetization, improve quality, and identify revenue opportunities.
• Analyze and maintain departmental reports to improve data quality, identify distribution opportunities, and manage workflow.
• Provide ad hoc reports upon request.
4. Process Improvement
• Observe and analyze processes to identify inefficiencies and suggest improvements.
• Recommend changes to systems and operations to optimize workflow efficiency.
• Support project planning, track progress, and ensure deadlines are met, working closely with cross-functional teams.
• Investigate queue and reporting workflows for efficiency improvements and distribution opportunities.
• Assist with special projects, prioritizing and shifting focus as needed while maintaining daily workload.
5. Collaboration and Communication
• Work closely with managers and coordinate with team leaders, and department heads to manage inventory and maintain distribution levels.
• Facilitate feedback from team members and management and executive teams.
• Present solutions and recommendations to management regularly.
• Collaborate with management and executives to set departmental and organizational goals.
6. Issue Resolution and Internal Service
• Assist peers and department heads in resolving issues or inquiries.
• Assist with team inquiries and resolve operational issues to ensure department satisfaction.
• Deliver reports to management and executives, providing insights into operational efficiency.
7. Training and Peer Support
• Train peers on established processes as needed.
• Back up daily workflows for peers when required.
• Support project planning, track progress, and ensure deadlines are met by working closely with cross-functional teams.
8. Operational Oversight and Efficiency Improvement
• Observe, review, and analyze processes to identify inefficiencies and areas for improvement.
• Recommend changes to systems and operations to improve workflow efficiency within the department.
• Maintain accurate records, monitor performance metrics, and prepare operational reports for management.
9. Compliance and Safety
• Demonstrate the company’s core competencies and values in all activities.
• Handle sensitive data responsibly due to the high-risk nature of the role.
• Assist with other duties, responsibilities, and qualifications as assigned.
• Ensure compliance with HIPAA regulations, company policies, and industry standards.
• Ensure all operations conform to local, federal, and industry regulations.
• Recognize that this is a high-risk role due to exposure to PHI (Protected Health Information) and ensure compliance with all relevant regulations.
• Ensure that all activities comply with local, federal, industry, and company standards, including HIPAA regulations.
• Maintain adherence to organizational policies and safety protocols.
• Perform other duties as assigned to meet the needs of the organization.

JOB SCOPE:
Individual works under general supervision to complete job responsibilities in applying knowledge of the department processes and impacts of decisions made to workload and workflow. Work involves applying advanced skills using tools, systems and tools for the position or specialization. Duties and tasks are standardized and the individual resolves routine questions and issues while referring more complex issues to higher levels for resolution.
Qualifications
JOB REQUIREMENTS (Education, Experience, and Training):
• Minimum High School Diploma or GED.
• Minimum 2 years of experience in a data tracking and reporting setting.
• Communication (written, verbal and listening), analytical, organizational, prioritization, technical, etiquette and interpersonal skills.
• Ability to use Microsoft Teams and related communication applications.
• Ability to use software and hardware peripherals related to job responsibilities including MS Office Suites with preferred proficiency with Word, Excel, and other database software.
• Strong excel knowledge (reading, building, and manipulating reports); including formula's and pivot tables.
• Ability to use software and hardware peripherals related to job responsibilities including Scribe, OneDrive, FORMs, and other related MS Office Suites.
• Ability to track tasks for prioritization, setting deadlines, and maintaining visibility on task progress through platforms like Microsoft Planner, Microsoft Lists, and Outlook calendars, ensuring projects stay on track.
• Ability to be flexible in quickly shifting priorities and keeping up with changes across multiple tasks in a fast-paced environment while maintaining a positive and cooperative demeanor.
• Ability to demonstrate strong technical skills.
• Ability to identify issues and escalate for course of action for resolution.
• Ability to elicit trust and credibility with all levels of the organization.
• Ability to adjust/alter schedule to meet deadlines.
• Ability to work independently and handle confidential information.
• Ability to work in a fast-paced reporting environment to meet deadlines and production expectations.
• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.
The salary range for this position is $43K. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
* Medical (PPO & HDHP), dental and vision coverage
* Pre-tax Savings Account (FSA & HSA)
* Life & Disability Insurance
* Paid Parental Leave
* 401(k) company match
* Employee Stock Purchase Plan
* Generous Paid Time Off -- accrued based on years of service
o WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
* 10 paid company holidays
* Tuition reimbursement
* Employee Assistance Program
* Sick time benefits -- for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
EEO STATEMENT
Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.
APPLICATION DEADLINE
We will generally accept applications for at least 5 business days from the posting date or as long as the job remains posted.