Position
Senior Analyst, CORE
Department
CAQH CORE
Reports To
Associate Director, CORE
Post Date
Specific Responsibilities
- Researches, designs and drafts content for CAQH CORE Work Groups, which develop and maintain healthcare industry operating rules with a focus on technology.
- Develops technical analyses, research summaries, work group facilitation documents, and draft operating rule requirements, in collaboration with subject matter experts.
- Develops tools such as technical guides, implementation tools, FAQs, etc. to assist the industry with implementation and maintenance of the CAQH CORE Operating Rules.
- Provides daily management of CAQH CORE Work Groups.
- Creates and manages task lists to track the internal document development and review cycle for work group deliverables.
- Uses work plans to organize and track work group progress; updates work plans as needed and communicates any impacts of updates to schedule or scope.
- Provides scheduling, logistical oversight, and meeting organization for work groups and related meetings (e.g., Co-Chair Prep Calls, Work Group Calls, etc.).
- Serves as a primary contact for CAQH CORE Work Group members who have questions regarding timelines, documents, and meeting agenda items.
- Maintains accurate and up-to-date lists of Work Group organizations and individual contacts in customer relationship management tool; monitors engagement and support levels throughout the rule development process; proactively provides recommendations to Manager as needed.
- Supports communication with and outreach to external industry organizations (health plans, healthcare providers, vendors, government entities, etc.).
- Participates in industry workgroups focused on healthcare standards and interoperability; analyzes technical documentation and identifies areas of alignment and opportunity for operating rules.
- Drafts and provides timely responses to inquiries from industry organizations regarding operating rule requirements, implementation, and tools/resources. Escalates significant issues to appropriate staff and develops recommendations for organizational enhancements based on understanding of evolving CAQH CORE member needs.
- Creates presentations overviewing CAQH CORE projects and industry trends for external organizations (e.g., industry conferences, presentations to federal advisory committees, etc.).
Knowledge, skills and abilities
- Desire and ability to learn new and challenging content areas.
- Strong writing skills with the ability to translate technical detail into business language as needed.
- Excellent qualitative and quantitative analytic capabilities to evaluate, distill and interpret technical concepts for broader audiences.
- Ability to simultaneously perform multiple assignments and follow extensive work plans.
- Ability to outline slide flow and content for formal presentations to convey information effectively for executive audiences.
- Strong experience in Microsoft Word, PowerPoint and Excel; experience with Salesforce or other customer relationship management database software desired.
- Experience with survey development and analysis software – preferably Qualtrics – desired.
- Excellent interpersonal communication skills.
- Is inspired by the work of CAQH CORE and motivated to have a positive impact on simplifying the business of healthcare. Maintains an intellectual curiosity about how to accomplish this goal through industry collaboration.
Experience
- Four years of related work experience in the healthcare industry, preferably in healthcare consulting, implementation, or health IT. Exposure to emerging technologies and trends in the healthcare industry preferred such as APIs, telehealth, digital health, etc.
- Knowledge of HL7, X12, WEDI, and other health IT efforts that develop standards, facilitate their use, and advocate for adoption.
- Knowledge of the healthcare revenue cycle and the key parties involved is desirable.
Education
- Bachelor’s degree required; business and technology disciplines preferred.
- Master's level class work and/or degree in healthcare informatics, healthcare business, or a related field is desirable.
PDF version
Download
(143.78 KB)
Employment Type
FULL_TIME
Hiring Organization
CAQH
