Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities.

We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience, accelerate quality outcomes, and promote health equity.

Clearlink Partners is a Health Plan Alliance Preferred Business Sponsor and ACAP Preferred Vendor.

Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities.

We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience, accelerate quality outcomes, and promote health equity.

Position Responsibilities

• Understands business process management and business requirements of the customers and translating them to specific process, control, and reporting requirements
• Identifying areas for process improvement, and developing/ implementing solution
• Leading review and writing descriptions of business needs and business program functions, including creating process and data flow diagrams, workflow diagrams, test scripts, training curriculum, and quality assurance/audit procedures.
• Identifying opportunities for workflow optimization, efficiency and automation
• Staying up-to-date on the latest process and IT advancements to automate and modernize systems
• Conducting meetings and presentations to share ideas and findings
• Performing requirements analysis
• Documenting and communicating the results
• Recommend alert and reporting requirements
• Leverage technical skills, coupled with business intelligence and a deep understanding of the customer's needs to transform information into application and operational requirements
• Effectively communicating insights and plans to cross-functional team members and management
• Gathering critical information from meetings with various stakeholders and producing useful reports
• Ensuring options are evaluated and presented to meet business needs and requirements
• Performing user acceptance testing
• Basic knowledge in generating process documentation
• Strong written and verbal communication skills including technical writing skills
• Updating, implementing, and maintaining procedures
• Prioritizing initiatives based on business needs and requirements
• Serving as a liaison between stakeholders, business units, technology teams and support teams
• Managing competing resources and priorities
• Monitoring deliverables and ensuring timely completion of projects

Competencies

• Ability to evaluate opportunity and determine/ present viable options/ alternatives
• Strong technical skills.
• Excellent documentation skills
• Fundamental analytical and conceptual thinking skills
• Experience creating detailed reports
• Competency in Microsoft applications including Word, Excel, Project and Outlook.
• Strong planning, organizational, and time management skills.

Experience

• A bachelor’s degree in business or related field preferred, comparable experience considered
• A minimum of 3 years as a team member on process-oriented projects in highly complex business-to-business and/or outsourced client environments
• Previous experience working for a managed care organization in Claims, Business / Systems Analysis or Quality Assurance
• Proven experience in eliciting requirements and testing
• Experience in analyzing data to draw business-relevant conclusions and in data visualization techniques and tools
• A history of supporting successful projects

Physical Requirements

• Must be able to sit in a chair for extended periods of time
• Must be able to speak so that you are able to accurately express ideas by means of the spoken word
• Must be able to hear, understand, and/or distinguish speech and/or other sounds in person, via telephone/cellular phone, and/or electronic devices
• Must have ample dexterity which allows entering of text and/or data into a computer or other electronic device by means of a keyboard and/or mouse
• Must be able to clearly use sight so that you are able to detect, determine, perceive, identify, recognize, judge, observe, inspect, estimate, and/or assess data or other information types
• Must be able to fluently communicate both verbally and in writing using the English language

Time Zone: Eastern, Central, Mountain or Pacific