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Lead Healthcare Operations Analyst

Innova Solutions, Inc

Philadelphia, Pennsylvania • Today

Easy Apply

Contract

Depends on Experience

Lead Analyst, Commercial Data & AI

Johnson & Johnson

Remote or West Chester, Pennsylvania • Today

Full-time

USD 94,000.00 - 151,800.00 per year

Data Operations Lead

Informatic Technologies

Hybrid in Hopewell Township, New Jersey • 12d ago

Easy Apply

Contract

Depends on Experience

Senior Data Analyst, Healthcare Payer Side - Predictive Analytics - Full Time, Direct Only

Stone Search

Remote • 9d ago

Easy Apply

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110,000 - 130,000

EHR Healthcare System Analyst

HonorVet Technologies

Remote • Yesterday

Easy Apply

Third Party, Contract

$50 - $55

Superintendent

Jobot

Philadelphia, Pennsylvania • Today

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USD 80,000.00 - 140,000.00 per year

Lead Analyst Cloud Financial Operations

Empower Annuity Insurance Company of America

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USD 114,000.00 - 165,300.00 per year

Healthcare Systems Analyst-EHR

TECHNOCRAFT SOLUTIONS

Remote or Raleigh, North Carolina • Today

Easy Apply

Contract, Third Party

Senior Clinical Data Analyst (Healthcare Analytics)

Tendo

Remote or Chicago, Illinois • Today

Full-time

USD 97,750.00 - 132,250.00 per year

Senior Healthcare Data Analyst

Machinify

Remote • Today

Full-time

USD 140,000.00 - 170,000.00 per year

Digital Sr Analyst - Healthcare Data Management

Huron

Remote or Chicago, Illinois • Today

Full-time

USD 85,000.00 - 95,000.00 per year

Senior Business Analyst Healthcare

FutureTech Consultants LLC

Hybrid in Plymouth Meeting, Pennsylvania • 9d ago

Easy Apply

Contract, Third Party

$1 - $1

Applications Analyst Team Lead- 100 % Remote

TPI Global (formerly Tech Providers, Inc.)

Remote or Johnson City, New York • Today

Full-time

Lead SWE, AI Dev/IT Operations - Remote or Hybrid in DC or MN

UnitedHealth Group

Remote or Minnetonka, Minnesota • Today

Full-time

USD 112,700.00 - 193,200.00 per year

Business Applications Operations Lead Life Sciences

Acunor Infotech

Remote or New Jersey • Today

Easy Apply

Third Party

Senior Data Analyst, Operations - remote PST

Irvine Technology Corporation (ITC)

Remote or Long Beach, California • Today

Easy Apply

Contract

USD60 - USD75

Care Management Sr Data Operations Analyst (Full-time Remote, North Carolina Based)

Alliance Enterprises Inc.

Remote or Morrisville, North Carolina • Today

Full-time

USD 69,592.00 - 88,729.00 per year

Senior Information Security Analyst – Agentic AI

GDH

Mount Laurel Township, New Jersey • 14d ago

Easy Apply

Third Party, Contract

Depends on Experience

Office Manager

Mitchell Martin, Inc.

Doylestown, Pennsylvania • 23d ago

Easy Apply

Full-time, Third Party

$75000 - $95000

CRM Salesforce Support & Data Operations Lead - Remote position

R Systems, Inc.

Remote • Today

Easy Apply

Third Party, Contract

$60 - $65

Senior Business Systems Analyst

GDH

Remote • 14d ago

Easy Apply

Contract, Third Party

Depends on Experience

Life Sciences Consulting Lead

VIIS Global Inc.

Remote • Today

Easy Apply

Third Party, Contract

Depends on Experience

WMS Implementation Readiness Lead

On-Demand Group

Remote • 8d ago

Easy Apply

Contract

Depends on Experience

Lead Data Analyst

Parachute Health

Remote • Today

Full-time

USD 160,000.00 - 200,000.00 per year

VP, Pharmacy Operations

Vaco by Highspring

Remote • 4d ago

Easy Apply

Full-time

Depends on Experience

Infor WFM / Clinical Scheduling Manager

Penn Medicine

Philadelphia, Pennsylvania • Today

Full-time

Depends on Experience

Lead Cyber Security Analyst

University of Washington

Remote or Seattle, Washington • Today

Full-time

USD 135,000.00 per year

Associate Director Applications

Penn Medicine

Philadelphia, Pennsylvania • Today

Full-time

Depends on Experience

Customer Success Advisor

Motion Recruitment Partners, LLC

Bryn Mawr, Pennsylvania • Today

Easy Apply

Full-time

USD 65,000.00 - 85,000.00 per year

Biomedical Equipment Tech

Judge Group, Inc.

Philadelphia, Pennsylvania • Today

Contract

USD 30.00 - 40.00 per hour

Job Details

Skills

Summary

A client of Innova Solutions is immediately hiring for Lead Healthcare Operations Analyst

Position Type: Contract
Duration: 06 Months
Location: Philadelphia, PA

As a Lead Healthcare Operations Analyst you will:

Monitor customer service, claims, enrollment, and supporting functions to identify gaps, inconsistencies, emerging trends, and areas requiring adjustment.
Conduct frequent call listening and targeted transcript, claims, and enrollment reviews to identify misinformation, process breakdowns, training needs, and service risks.
Establish practical intake, triage, ownership, escalation, and closure processes. Resolve routine questions directly and elevate issues requiring leadership attention.
Support initial training and role-based readiness activities so impacted teams understand the product, how it affects their work, and how to explain it accurately.
Implement monitoring and quality controls, verify corrective actions, and confirm changes are working as intended.
Partner with the Project Manager to maintain an integrated issue and action tracker and provide concise updates on risks, trends, decisions, progress, and items requiring intervention.
Connect issues across functions, reinforce effective practices, and recommend sustainable process, training, communication, or control improvements.
Documented question intake, triage, escalation, and resolution process.
Integrated issue and action tracker with owners, priorities, status, and due dates.
Regular findings from operational reviews and concise executive-level status updates.

The ideal Candidate will have:

7+ years of experience in self-funded medical insurance operations, implementation readiness, quality assurance, issue management, or a related role in a complex service environment.
Strong knowledge of customer service operations and the interdependencies among service, claims, enrollment, training, and implementation teams.
Experience identifying operational risk through call monitoring, transcript analysis, data review, claims review, or similar quality activities.
Strong judgment, organization, follow-through, and ability to translate complex issues into clear guidance and executive-level reporting.

Preferred:

Health plan administration, benefits administration, claims operations, or similarly regulated experience.

Qualified candidates should APPLY NOW for immediate consideration!
This position is only open to applicants who can be engaged on a W-2 basis. 1099 contractors and Corp-to-Corp arrangements will not be considered for this position.

Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines.

REFERRAL PROGRAM:
This position qualifies for a Referral Bonus amount of $250-$1000 dollars. Click here to learn more – . Please email your referral details along with their resume to

Pranshi Srivastava
(+1)

PAY RANGE AND BENEFITS:
Pay Range*: $43- $48 per hour
Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

Named One of America’s Best Employers for New Grads by Forbes (2024)
Named One of the Best Companies to Work for by U.S. News & World Report (Private Companies List, 2024-2025)
One of the Largest IT Staffing Firms in the US – Ranked #3 by Staffing Industry Analysts (SIA, 2024)
One of the Largest Staffing Firms in the US – Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
AWS Advanced Tier Services Partner with 100+ certifications

Website:

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at or . Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.
By applying for this job, I agree to receive calls and emails (including automated or AI-generated calls or emails) from Innova Solutions, Inc. and its identified recruiting partners regarding this job and future recruiting and job-placement opportunities. I understand that my consent is not a condition of employment or services, and that I may revoke my consent at any time by following the .
I confirm that I have read and agree to the and acknowledge that I have received and reviewed the .

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10115307
Position Id: 1026224
Posted 2 hours ago

Fitment

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Job Details

Skills

Summary

Monitor customer service, claims, enrollment, and supporting functions to identify gaps, inconsistencies, emerging trends, and areas requiring adjustment.
Conduct frequent call listening and targeted transcript, claims, and enrollment reviews to identify misinformation, process breakdowns, training needs, and service risks.
Establish practical intake, triage, ownership, escalation, and closure processes. Resolve routine questions directly and elevate issues requiring leadership attention.
Support initial training and role-based readiness activities so impacted teams understand the product, how it affects their work, and how to explain it accurately.
Implement monitoring and quality controls, verify corrective actions, and confirm changes are working as intended.
Partner with the Project Manager to maintain an integrated issue and action tracker and provide concise updates on risks, trends, decisions, progress, and items requiring intervention.
Connect issues across functions, reinforce effective practices, and recommend sustainable process, training, communication, or control improvements.
Documented question intake, triage, escalation, and resolution process.
Integrated issue and action tracker with owners, priorities, status, and due dates.
Regular findings from operational reviews and concise executive-level status updates.

The ideal Candidate will have:

7+ years of experience in self-funded medical insurance operations, implementation readiness, quality assurance, issue management, or a related role in a complex service environment.
Strong knowledge of customer service operations and the interdependencies among service, claims, enrollment, training, and implementation teams.
Experience identifying operational risk through call monitoring, transcript analysis, data review, claims review, or similar quality activities.
Strong judgment, organization, follow-through, and ability to translate complex issues into clear guidance and executive-level reporting.

Preferred:

Health plan administration, benefits administration, claims operations, or similarly regulated experience.

Named One of America’s Best Employers for New Grads by Forbes (2024)
Named One of the Best Companies to Work for by U.S. News & World Report (Private Companies List, 2024-2025)
One of the Largest IT Staffing Firms in the US – Ranked #3 by Staffing Industry Analysts (SIA, 2024)
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Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
AWS Advanced Tier Services Partner with 100+ certifications

Dice Id: 10115307
Position Id: 1026224
Posted 2 hours ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

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