Operations Quality Analyst

Collective Health

Lehi, UT, US
  • Job Type: Full-Time
  • Function: Life Sciences QA/QC
  • Post Date: 06/08/2021
  • Website: collectivehealth.com
  • Company Address: 85 Bluxome St, San Francisco, CA, 94107

About Collective Health

Collective Health is the world's first cloud-based employer self-insurance platform. We enable employers to sponsor employee health care on their own terms by extending the benefits of self-insurance to companies with 100 or more employees, and providing a level of customer service and care that has not been available in the health insurance industry before.

Job Description

We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical. 

Eligibility flows through and impacts every aspect of the Collective Health platform, and we are building out the team responsible for receiving, processing, validating and sending our eligibility information with our partners. We exchange a high volume of files per day with customers, networks, and partners, and are looking for people to be responsible for the operation, quality, and scaling of our data management systems. Through your experiences at Collective Health, you will be a pivotal part of improving the member healthcare experience by operating and scaling our data operations platform.

What you'll do: 

  • The Eligibility Analyst will monitor and own the success of daily eligibility file processes across Collective Health.
  • Develop and apply deep understanding of all of the file formats ingested and sent by our systems
  • Investigate and resolve daily exceptions and errors
  • Work closely with internal teams and 3rd party partners on owning and improving existing integrations and implementing new integrations (gathering and defining requirements, coordinating file build, testing, go-live etc)
  • Prioritize quality and building for scale – our team is growing fast so you’ll need to be ready for new challenges

Your skills include:

  • Work Experience: 3+ years
  • Skills Required:
    • Excel, G-Suite
    • Communication
    • Cross functional and collaboration
    • Problem Solving
    • Analytical Thinking
    • Project Management
    • External or client communication – comfortable leading client calls
  • Nice to have:
    • EDI experience
    • Understands US healthcare systems
    • Basic SQL knowledge

Collective Health is a technology company simplifying employer healthcare to make health insurance work for everyone. With more than a quarter million members and over 60 enterprise clients—including Pinterest, Red Bull, Restoration Hardware, Box, Activision Blizzard, and more—our technical and customer experience teams are reinventing the healthcare experience for forward-thinking employers and their people across the U.S.

Collective Health is headquartered in San Mateo, CA, with additional offices in Chicago, IL, and Lehi, UT. Founded in 2013, Collective Health is backed by the SoftBank Vision Fund, DFJ Growth, PSP Investments, NEA, GV, G Squared, Founders Fund, Maverick Ventures, Mubadala Ventures, Sun Life, HCSC and other leading investors. For more information, visit us at https://www.collectivehealth.com.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact [email protected].

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Disclaimer: Local Candidates Only
This company does NOT accept candidates from outside recruiting firms. Agency contacts are not welcome.