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Health Plan Operations Analyst, Michigan Residency…
- McLaren Health Care (Flint, MI)
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We are looking for an Operations Analyst, to join us in leading our organization forward.
McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.
McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive.
As an employee of MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at
https://www.mclarenhealthplan.org
.
MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at
https://www.mdwise.org/
.
Position Summary:
The Operations Analyst
combines executive-level support with hands-on operational execution to advance the strategic and day-to-day priorities of the health plan. This role provides end-to-end support for organizational initiatives and process improvements across all functions of the health plan. This individual will work with leaders across all departments to ensure operational compliance, alignment on goals, and timely execution of priority initiatives.
The role manages executive-level communications, prepares leadership materials, completes special assignments, and supports high-visibility projects that require discretion, accuracy, and professionalism.
Responds
to
inquiries, provides information, and independently resolves basic problems. Responsible for assisting in development of operating policies and procedures, taking and maintaining minutes of various committees, posting of announcements, and
compiling
and
maintaining
recurring and
miscellaneous reports. Acts as a liaison with internal and external departments.
This role requires strong analytical, communication, and problem-solving skills, along with knowledge of healthcare systems and Medicaid policies specific to Michigan.
This is a hybrid position with requirements to come onsite as scheduled, Flint, MI.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
\#LI-AK1
Qualifications:
Required:
+ AssociateDegreeinBusinessAdministration,Healthcare Administration,orotheradministrative support area; or High School diploma and two (2) years’ experience in a related field.
+ Twoyears’experienceinanofficeenvironmentrelatedtocustomerservice.
+ Proficiencywithcomputerapplications,MS-Office,automationtools,andother software applications associated with Operations department functions.
Preferred:
+ Bachelor’s DegreeinBusinessAdministration,Healthcare Administration,orrelated field.
+ Experience and knowledge of HMO, PPO, TPA, and Managed Care functions (e.g. quality improvement, regulatory compliance, utilization management, care management, claims processing, payment integrity, enrollment/eligibility, EDI, provider contracting, and risk arrangements).
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