- Hiring from
- United States
- Work type
- Hybrid
- Posted
618,198 remote jobs, straight from company career pages
100% free · New jobs every minute
Show job descriptionHide job description
- HRSN Reporting, Dashboards & Monitoring
- Generates required HRSN reporting from available systems, including monthly, quarterly, and ad hoc reports for MQD and internal leadership.
- Builds, maintains, and refines monitoring dashboards to track referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators.
- Monitors benefit uptake and implementation performance across HRSN programs such as medical respite, nutrition supports, reentry services, housing supports, and CIS+ as applicable.
- Data Research & Issue Resolution
- Researches data, claims, referral, authorization, billing, and operational issues to support timely resolution and reduce barriers for members, providers, and internal teams.
- Analyzes trends and root causes related to HRSN implementation challenges, including workflow gaps, reporting inconsistencies, provider questions, and system configuration impacts.
- Partners with HRSN Program leadership, external relations, claims, utilization management, IT, analytics, and provider operations to translate findings into practical fixes.
- Rapid-Cycle Improvement & Program Implementation Support
- Uses data and qualitative feedback to support rapid-cycle improvement as HRSN benefits move from launch to sustainable operations.
- Supports development and refinement of workflows, monitoring tools, data definitions, status tracking, and documentation standards needed to operationalize HRSN services.
- Prepares concise summaries, issue logs, and implementation updates that inform decision-making, escalation, and cross-functional accountability.
- Compliance, Documentation & Audit Support
- Supports documentation needed to demonstrate alignment with MQD requirements, waiver expectations, reporting protocols, and internal compliance standards.
- Maintains organized workpapers, data definitions, assumptions, and validation notes to support monitoring, review, and audit readiness.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
- Bachelor's degree and four years of related experience in healthcare, Medicaid managed care, program operations, reporting, analytics, quality improvement, finance, or a related field.
- Experience analyzing data, developing reports or dashboards, researching operational issues, and communicating findings to business stakeholders.
- Strong analytical, problem-solving, and documentation skills; ability to organize data, validate assumptions, and identify meaningful trends or issues.
- Ability to communicate complex operational and data findings clearly and concisely to program leaders, cross-functional teams, and external partners.
- Ability to work with spreadsheets, datasets, reports, and basic dashboards to support monitoring and analysis.
- Working knowledge of regulated healthcare program requirements, operational workflows, reporting expectations, and documentation standards.
- Intermediate working knowledge of Microsoft Office applications to include Word, Excel, PowerPoint, and Outlook.
