Job Track Description:

Performs tasks based on established procedures.
Uses data organizing and coordination skills to perform business support or technical work.
Requires vocational training, certifications, licensures, or equivalent experience.

General Profile

Has advanced, specialized expertise within a range of analytical or operational processes.
Completes assignments and facilitates the work of others.
May coordinate assignments beyond work area.
Proposes improvements to processes and methods.
Acts as a lead, coordinating the work of others, but is not a supervisor.
Works autonomously within established procedures.

Functional Knowledge

Business Expertise

Understanding of how best teams integrate and work together to achieve company goals.

Impact

Impacts a team, by example, through the quality service and information provided.
Suggests enhancements to work procedures and practices to improve efficiency.

Leadership

Problem Solving

Interpersonal Skills

Responsibility Statements

Facilitates quantitative project KPIs such as service level so that intraday and intraweek operational KPIs are met and optimized.
Ensures that published schedules appropriately meet organization and project-specific targets (KPIs) within a set policy.
Monitors intraday actuals against forecasted planning parameters and applies corrective actions to address negative deviations.
Re-forecasts planning parameters based on actuals.
Updates intraday schedules to best meet requirements for upcoming intervals.
Records events and incidents that influence forecasts and KPI realization for impact review and future planning.
Accepts and maintains published schedules by adjusting to accommodate changes to available resources or client requirements.
Manages operations across several health plan functions, including plan operations, member/provider services, claims, implementation and grievances/appeals.
Performs other duties as assigned.
Complies with all policies and standards.

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