Delinquency Analyst

About the role

This position provides analytical, technical and problem solving support to the Manager Large Group Delinquency. The analyst collaborates with Legal, Operations, Sales, IT&D and other business areas to resolve delinquency issues and minimize business risk. They understand the end-to-end process for group setup, payment and delinquency, including downstream impacts when system and process changes occur, as well as establishing, documenting and monitoring of payment plans that mitigate corporate risk. They complete assignments and projects using innovative approaches and solutions to business problems using their knowledge and experience. They provide analytical data and Large Group receivable reports to Finance management. Excellent communication skills, through written and verbal means, are required.

Responsibilities

• Development and maintenance of Large Group delinquency processes, including automating processes and developing ways to manage and report on manual portions while mitigating risk and maintaining positive customer relationships.
• Analyze and report on complex receivable data, working with staff to confirm the accuracy of internal reports; includes variance analysis, development of reports, tracking tools and improvement of existing ones to analyze, project and record results.
• Serve as a department project lead for medium scale (40–500 hours) department/corporate projects and/or maintenance activities, including communicating project team status updates verbally and in writing, identifying potential project risks and contingencies, and considering root cause analysis and process improvement opportunities.
• Manage and monitor group payment arrangements and other delinquency issues, including working with Legal and other areas to prepare letters or other communications as necessary.
• Summarize verbally and in writing advanced analytical research that is understandable to the intended audience; facilitate meetings including preparing agendas, minutes, and other documentation as needed; communicate roadblocks or impacts to management and business areas.

Qualifications

• Bachelor’s degree preferred.

Skills

• Proven ability to direct and guide to successful completion multiple, simultaneous, complex projects with substantial/critical impacts on the customer/business.
• Ability to analyze problems and issues, determine impact, and develop business solutions for system changes; act as a liaison and recommend solutions to a variety of departments and external business partners.
• Very strong analytical skills (both quantitative and qualitative); ability to move in and out of complex spreadsheets by quickly and independently understanding the purpose, results and conclusion of the analyses.
• Ability to plan, organize, lead and control projects; communicate effectively in writing and verbally with technical and non-technical audiences; use persuasion and negotiation skills to resolve differences.
• Ability to analyze complex problems and issues, determine impact, and develop business solutions or recommendations for changes.
• Ability to communicate effectively with all levels of internal/external personnel and to prepare written materials and oral presentations for technical and non-technical audiences; lead effective meetings and conduct effective interviews.
• Ability to adapt to constantly changing priorities of multiple customers; lead meetings and give presentations to both management and staff; develop teamwork among diverse groups.
• Demonstrate detailed knowledge of the group invoicing/billing process within Facets and ASO invoicing on SharePoint; knowledge of the health care industry and Capital corporate structure, including standards, policies, and business practices and procedures for multiple departments/systems; familiarity with business services, systems and/or processes provided by external business partners.
• Adept at using Microsoft Office Suite of products.

Experience

• 3 years’ experience working with an integrated business system that handles claims processing, membership, billing, network, clinical, customer service, and product processes.
• Experience planning, organizing, and managing major activities.
• Ability to comply with all corporate and department policies, procedures and standards.

Physical Demands

• Frequently required to sit, use hands and fingers, talk, hear, and see.
• Must be able to work over 40 hours per week.
• Must occasionally lift and/or move up to 5 pounds.

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.