Health Operations Analyst

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Health Operations Analyst in United States.

This role sits at the intersection of healthcare operations, financial recovery, and data-driven analysis within a Medicaid-focused environment. The Health Operations Analyst is responsible for supporting investigative and recovery activities tied to provider overpayments, ensuring accuracy, compliance, and efficiency across complex administrative processes. The position plays a key role in safeguarding public funds while maintaining constructive relationships with providers and stakeholders. You will work across multiple operational teams to reconcile data, apply recovered funds, and improve recovery workflows. The role also involves building and maintaining reports that support decision-making and process optimization using Microsoft Excel. This is a detail-oriented, impact-driven position in a highly regulated healthcare setting where analytical precision and communication skills are essential.

You will contribute to Medicaid provider overpayment recovery and operational integrity through investigative, analytical, and coordination-focused work, including:

• Conducting investigative and recovery support activities to identify and pursue Medicaid provider overpayments, ensuring compliance with program and regulatory requirements.
• Supporting debt recovery processes by reducing aging receivables, improving resolution timelines, and maintaining accurate documentation of recovery actions.
• Coordinating across multiple operational teams to apply recovered funds and ensure alignment between financial, claims, and provider data systems.
• Preparing recurring reports and analyses using Microsoft Excel to track outstanding receivables and connect findings across audits, enrollment, payment holds, and other control processes.
• Supporting data reconciliation and administrative workflows linked to claims processing, audits, bankruptcy cases, and state/federal oversight activities.
• Maintaining effective and professional communication with providers and internal stakeholders to support resolution and compliance outcomes.

Requirements

The ideal candidate brings strong experience in collections or dispute resolution, combined with solid analytical and technical skills:

• Minimum 2 years of experience in customer debt collections, financial recovery, or customer complaint/resolution environments.
• At least 3 years of experience using Microsoft Office Suite, particularly Excel, Word, and Outlook.
• Strong understanding of data analysis, reporting, and reconciliation in operational or financial contexts.
• Familiarity with healthcare, Medicaid programs, or provider billing/claims processes is highly preferred.
• Ability to interpret complex data sets and connect financial and operational information across systems.
• Strong communication skills with the ability to manage relationships in sensitive or regulated environments.
• Detail-oriented mindset with strong organizational skills and the ability to manage multiple priorities.

Benefits

• Competitive hourly compensation that varies by location and experience level.
• Comprehensive health coverage including medical, dental, vision, life, and long-term disability insurance.
• 401(k) retirement savings plan with employer support.
• Paid holidays and paid time off for work-life balance.
• Bonus opportunities based on eligibility and performance.
• Access to structured professional development within a global organization focused on innovation and technology.
• Inclusive and diverse work environment with strong support for accessibility and equal opportunity.