Operations Specialist

Job description

Job Description We're hiring an Operations Specialist to join the Behavioral Health Care Navigation Team! You will be responsible for the resolution of inquiries and/or activities which may include claims, plan policies, products, rates, membership, enrollment, underwriting, direct sales and/or program engagement. The Operations Specialist may also provide cross-functional support for operational functions, which may include one-on-one training, auditing, fulfillment, and/or root cause analysis. What You'll Do: Identify and document escalated, recurring or complex system, process and workflow problems; identify trends, recommend solutions/alternatives and work to resolve issues. Serve as a subject matter expert for employees’ inquiries and internal/external audits/projects around work process, procedures, products, and policies and provide support, testing, coaching or first level escalation, and research support as needed. Provide cross functional support and departmental expertise to varied internal stakeholders. Responsible for departmental reporting, tracking and/or data analysis as needed. Perform quality reviews of inquiries to determine the accuracy of information provided a...