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Group Health Cooperative of South Central Wisconsin · 15 hours ago

Insurance Operations Analyst

Administration - 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, United States of America

Full-time

Onsite

Entry, Mid Level

1+ years exp

Group Health Cooperative of South Central Wisconsin is a quality-driven cooperative dedicated to enhancing health and well-being in the community. The Insurance Operations Analyst plays a crucial role in leading project initiatives to improve operational efficiency and ensure compliance within the insurance operations team.

Health CareHospitalityNon Profit

Responsibilities

Leading and supporting a wide range of project-based initiatives that enhance operational efficiency, ensure regulatory compliance, and improve data stewardship across the organization

Serving as a key internal resource for complex tasks supporting front-line staff

Handling recurring operational processes, ad hoc project requests, and cross-functional efforts that require coordination with Information Technology and other business units

Interpreting and reconciling data from multiple systems, identifying process improvement opportunities, and ensuring that internal operations align with external requirements from regulators and business partners

Spearheading initiatives, driving process documentation, and collaborating with department leads to implement solutions

Understanding, explaining, and documenting the relationship between different areas in the Insurance Operations space

Qualification

Microsoft ExcelData analysisInsurance operationsEpic systemProcess improvementVisualizationsCollaboration with ITOrganizational skillsCommunication skillsInterpersonal skillsAttention to detail

Required

Bachelor's degree in Business, Public Administration, Health Administration, or a related field is required. Equivalent combination of education and extensive relevant work experience may be considered

Minimum of one (1) to three (3) years of experience in healthcare, insurance operations, government programs, or a related environment performing data analysis, process improvement, and operational support is preferred

Demonstrated ability to analyze and interpret complex data sets and translate findings into actionable insights for operational improvement and compliance

Strong proficiency in Microsoft Excel, including advanced functions such as pivot tables, VLOOKUP/XLOOKUP, conditional formatting, and formula-based analysis

Ability to create and present visualizations and reports (charts, tables, dashboards) that support decision-making and process optimization

Familiarity with insurance operations workflows, including claims adjudication, coordination of benefits, enrollment, and premium billing processes

Ability to learn and navigate Epic or similar electronic medical records systems and understand data flows across operational platforms

Proven ability to work collaboratively with Information Technology teams to troubleshoot issues, support system enhancements, and align business needs with technical solutions

Strong organizational skills with the ability to prioritize tasks, manage multiple projects, and adapt to changing priorities

Excellent written and verbal communication skills, with the ability to convey complex information clearly to both technical and non-technical audiences

Ability to work independently with minimal supervision while maintaining a high level of attention to detail and accountability

Demonstrated ability to lead or support cross-functional initiatives, including those involving multiple departments or stakeholders

Commitment to maintaining confidentiality and understanding of HIPAA and other relevant regulatory requirements

Strong interpersonal skills and the ability to work effectively with diverse teams and individuals across the organization

Ability to bend, reach, lift, pull, and carry up to 20 lbs regularly required

Ability to speak and listen in person and on the phone required

Ability to see mid, near, and far range required