• Performs tasks based on established procedures.
• Uses data organizing and coordination skills to perform business support or technical work.
• Requires vocational training, certifications, licensures, or equivalent experience.
  
  

• Has advanced, specialized expertise within a range of analytical or operational processes.
• Completes assignments and facilitates the work of others.
• May coordinate assignments beyond work area.
• Proposes improvements to processes and methods.
• Acts as a lead, coordinating the work of others, but is not a supervisor.
• Works autonomously within established procedures.
  
  

• Has developed skills in a range of processes, procedures, and systems.
• Acts as a technical expert in some areas.
  
  

• Understanding of how best teams integrate and work together to achieve company goals.
  
  

• Impacts a team, by example, through the quality service and information provided.
• Suggests enhancements to work procedures and practices to improve efficiency.
  
  

• Serves as a team lead.
• May allocate work to team members.
• Provides subject matter guidance to junior team members.
  
  

• Provides solutions to atypical problems with little or no precedent.
  
  

• Communicates information and ideas effectively.
• Uses tact and diplomacy when dealing with others.
  
  

• Facilitates quantitative project KPIs such as service level so that intraday and intraweek operational KPIs are met and optimized.
• Ensures that published schedules appropriately meet organization and project-specific targets (KPIs) within a set policy.
• Monitors intraday actuals against forecasted planning parameters and applies corrective actions to address negative deviations.
• Re-forecasts planning parameters based on actuals.
• Updates intraday schedules to best meet requirements for upcoming intervals.
• Records events and incidents that influence forecasts and KPI realization for impact review and future planning.
• Accepts and maintains published schedules by adjusting to accommodate changes to available resources or client requirements.
• Manages operations across several health plan functions, including plan operations, member/provider services, claims, implementation and grievances/appeals.
• Performs other duties as assigned.
• Complies with all policies and standards.
  
  

Please refer to job description.