Clinical Support Analyst - Work at Home
Core
Manage case management assignments, monitor caseloads, and provide data-driven insights to improve performance, compliance, and member outcomes for Long-Term Services and Supports (LTSS) operations.
Role type
Senior IC clinical support analyst (LTSS operations)
Builds
Operational dashboards, state reports, and performance scorecards for LTSS leadership
Domain
Healthcare / Long-Term Services and Supports (LTSS) / Managed Care
Deliverable
dashboards & analysis
Required skills
Case management assignment management, Caseload monitoring and rebalancing, State and contractual reporting, Data validation, KPI tracking and trend analysis, Process improvement support, Executive summary preparation, Cross-functional collaboration
Preferred skills
Medicaid managed care experience, Utilization management experience, Knowledge of healthcare quality metrics and regulatory requirements
Technologies
Microsoft Excel, Power BI, Tableau, QuickBase, SQL
Responsibilities
Manage case management assignments from outreach through reassignment; Monitor caseload distribution to support staffing alignment; Prepare timely state-required reports; Develop and maintain reports, dashboards, and scorecards; Analyze staffing, productivity, and utilization activity; Partner with leaders to identify process gaps and improvement opportunities
Seniority
Mid-level, hands-on IC
