Job description

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 – Referral Program . Please email your referral details along with their resume to referrals@innovasolutions.com Pranshi Srivastava (+1) 208-929-4231 Pranshi.srivastava@innovasolutions.com 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 : innovasolutions.com 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 hr@innovasolutions.com or (770) 493-5588. 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 Opt Out Instructions . I confirm that I have read and agree to the Terms of Service and acknowledge that I have received and reviewed the Privacy Notice .

Requirements

Must-haves

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.
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.
Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
Pranshi Srivastava

Nice-to-haves

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.
This position qualifies for a Referral Bonus amount of $250-$1000 dollars. Click here to learn more – Referral Program . Please email your referral details along with their resume to referrals@innovasolutions.com

Application prep

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Keywords to mirror

awsai

Platform: workllama
Effort: medium

Benefits

Benefits detected in the listing.

Dental

Vision

401(K)