Market Operations Analyst (Health Plans or Managed Care)
$80,000–$90,000 year
Remote · Tustin, California, United States
Job Summary
Market Operations Analyst responsibilities include analyzing market performance data to identify trends, gaps, and improvement opportunities; supporting operational initiatives across claims, provider, and member processes; collaborating with cross-functional teams (Claims, UM, Provider Relations, IT) to resolve issues and improve workflows; monitoring KPIs and developing reports to support leadership decisions; identifying root causes of operational challenges and recommending scalable solutions; assisting with process improvement initiatives to enhance efficiency, accuracy, and compliance; tracking and supporting implementation of system updates, configuration changes, or operational enhancements; providing insights and documentation to support ongoing business operations and strategic initiatives. Required skills include strong analytical and problem-solving abilities, experience in healthcare operations or project coordination, effective communication, and proficiency with Excel/Power BI/SQL. The role offers remote or hybrid work options and a base salary in the $80k-$90k range, with a Bachelor's degree as a minimum qualification.
Required Qualifications
- Bachelor's degree in Business, Healthcare Administration, or related field
Additional Requirements
- No relocation sponsorship available
- Cannot hire outside the United States
- Authorized to work in the United States
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