Service Process Analyst I, Medicaid Focused

Job Summary :

The Service Process Analyst I, Medicaid Focused identify opportunities for improvement in Customer Care's business processes and recommends projects aimed at enhancing quality, reducing costs, and promoting automation and call reduction. This position assists with effective implementation of new procedures, assists in conducting process audits and root cause analyses, and acts as a resource for assigned markets / products.

Essential Functions :

• Manage a minimum of three lower complexity projects concurrently under the guidance of a manager.
• Act as key resource for assigned markets / products, supporting the development and maintenance of policies, processes, and training materials to ensure compliance with contractual, regulatory, accreditation, and quality standards.
• Identify and escalate obstacles, inefficiencies, and opportunities for automation or reduction of inbound volume / AHT.
• Create comprehensive process documentation and guidelines, including standard operating procedures and workflow diagrams.
• Collaborate with stakeholders in other departments to establish and enhance workflows to and from Customer Care.
• Assess incoming service change requests engaging with stakeholders to discuss requirements and prioritize actions, ensuring optimal use of time and resources.
• Assist with audits, conversations with regulators, and cross-functional conversations requiring a Customer Care subject matter expert.
• Contribute content for Voice of the Customer report, Status Reports, and other communications to Senior. Leadership.
• Perform any other job-related instructions as requested.

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$53,400.00 - $85,600.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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