City/State
Virginia Beach VAWork Shift
First (Days)Overview:
The Senior Business Operations Analyst plays a key role in driving quality consistency and operational excellence across Sentara Health Plans. This position is responsible for leading comprehensive root cause analysis efforts for plan-wide issues escalated through the Customer Advocacy Team (CAT). The analyst will investigate operational and system concerns serve as the primary point of contact for internal and external stakeholders schedule and facilitate cross-functional meetings and ensure timely implementation of containment strategies and long-term countermeasures.
This role requires strong operational knowledge in areas such as claims system administration benefit configuration member enrollment and provider/network data management. The analyst will partner closely with Customer Operations IT Quality and other business units to define requirements analyze data implement process improvements and communicate insights. The ideal candidate brings exceptional critical thinking emotional intelligence communication skills and the ability to lead initiatives in a fast-paced environment with competing priorities.
Bachelors Degree (Preferred)
or
Bachelors degree 2 years relevant experience may be accepted in lieu of degree
or
Equivalent relevant experience in operations IT reporting or related areas
No specific certification requirements
Preferred:
Six Sigma Lean or similar process improvement certification (optional)
Proven experience in root cause analysis operational research or business operations within healthcare or health plan environments
Strong knowledge of customer operations such as claims benefit configuration system administration member enrollment or provider data management
Demonstrated ability to independently lead cross-functional projects from investigation through resolution
Strong critical thinking problem-solving and analytical skills with the ability to influence corrective actions
Experience gathering business requirements mapping processes triaging issues and driving remediation strategies
Exceptional verbal and written communication skills including the ability to present findings and facilitate discussions
Ability to work effectively under pressure manage multiple priorities and meet tight deadlines
High emotional intelligence with the ability to connect with stakeholders and advocate when issues arise
Strong organizational skills and comfort with public speaking
Must have a quiet private remote workspace to protect PHI
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
Senior IC
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.