Analyst - Operations

Role

Analyst Health Nav is an expert resource within the team responsible for ensuring we deliver timely and accurate information for all assigned tasks. Team Member should possess good learning agility, comm skills and shows flexibility as per the business needs. Contribute to build out our operational excellence capabilities to drive process improvements and process documentation also involves in- Knowledge Transfer & Process Set-Up. A critical part of your role as a Health Pro Specialist I will be to work as a patient advocate, a market researcher, and to provide administrative support for Health Pro Specialist IIs and Consultants. The job functions of this role will result in better health care experiences through reduced costs, specialized knowledge of the healthcare system, pricing transparency and higher quality medical care to improve overall satisfaction for individual health care consumers.

Responsibilities :

Work with health plan partners and providers to ensure accurate and timely Appointment Scheduling while ensuring that required IN Network and Out Of Network coverage is checked thoroughly and documented for the members ease of Appointment and Billing. All necessary documentation to begin research are received and notated on the customer’s account. Resolve customer needs or concerns related to: Scheduling Appointment and Billing and Transferring medical records. Coordinating the approval of medication changes and transfer to the pharmacy. 

Full accountability for research and resolution of the customer’s requirement including connecting them to additional benefits, resources, or programs. Save and log all customer documents in their file for record-keeping. Document all research and summarize calls in the case management system. Participate in ongoing training. Maintain Understanding of trained topics and processes. You may be asked to assist with additional tasks as needed. 

Eligibility Criteria

Benefits

We offer programs and plans for a healthy mind, body, wallet and life because it’s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options. 

By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.

Our commitment to Diversity and Inclusion

Alight is committed to diversity, equity, and inclusion. We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.

At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future.

Diversity Policy Statement

Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state or local law. In addition, we take affirmative action to employ and advance in the employment of qualified minorities, women, disabled persons, disabled veterans and other covered veterans.

Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request a reasonable accommodation/modification by contacting his/her recruiter.

Authorization to work in the Employing Country

Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the Employing Country and with Alight.

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.