
Optimize Business Processes
14 hours ago
This is an exciting opportunity to contribute to the design and optimization of audit workflows that enable efficient, scalable, and rule-driven processes.
- Key Responsibilities:
- Lead and support the configuration and optimization of audit workflows.
- Collaborate with product owners and business stakeholders to translate audit scenarios into configurable workflow rules.
- Manage and maintain custom letter templates ensuring alignment with regulatory requirements and system capabilities.
- Support the development and execution of product roadmaps for payment integrity solutions.
- Assist in analyzing claims, provider, and payer data to identify key trends, risks, and opportunities for solution enhancements.
- Requirements:
- Experience in workflow design and optimization.
- Strong analytical and problem-solving skills.
- Ability to work collaboratively with cross-functional teams.
- Excellent communication and stakeholder management skills.
- Work Breakdown:
Product & Workflow Configuration (50%):
- Design and optimize audit workflows to enable efficient, scalable, and rule-driven processes.
- Collaborate with product owners and business stakeholders to translate audit scenarios into configurable workflow rules.
Data & Market Analysis (20%):
- Perform quantitative and qualitative data analysis to support product decision-making.
- Utilize SQL, Excel, and visualization tools to extract and interpret data for process optimization.
Stakeholder Collaboration & Communication (30%):
- Act as a bridge between business and technical teams ensuring clear communication of product vision and priorities.
- Develop and refine product requirements through collaboration with stakeholders.
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