Senior Analyst, Health Care ProgramsApply NowApply Later Job ID 10058651 Location Lake Buena Vista, Florida, United States Business The Walt Disney Company (Corporate) Date posted Sep. 13, 2023
This position provides senior level analytical support for our health, dental and vision administration outsourcing and medical, pharmacy, behavioral health and flexible spending account programs and vendors. In addition, this position acts as subject matter expert for multiple, simultaneous health, pharmacy, dental and vision projects involving highly technically complex systems and processes (historically more than 75 small, medium and large projects per year or at times more than 10 simultaneously). This position provides day-to-day management of internal and external resources (payroll, HRIS, vendor systems and processes) to complete these projects and achieve other program objectives. It also plays a leading role in ensuring ongoing legal compliance with federal regulations.
Responsible for day-to-day health, pharmacy, dental and vision project management and process improvement. Directs the project work of internal and external resources, such as Benefits Administrator, healthcare, pharmacy, dental and vision vendors for a wide variety of technically complex projects. Fully responsible for defining project requirements, setting project responsibilities and establishing accountabilities. Responsible to ensure that deadlines/requirements are achieved.
Position may be required to coordinate the activities of stakeholders, vendors, benefits service delivery and segment support groups to complete a single project.
Responsible for the ongoing research and data analysis supporting our health, pharmacy, dental and vision plans and programs.
Partner with Total Benefits Outsourcing (TBO) vendor and carriers to extract data and develop perspectives. Self-service through data warehouse front end to analyze claims, health assessment data and other inputs. Applies subject matter expertise of prevalent healthcare practices, Benefits Outsourcing, etc. to draw conclusions and insights from analytical results.
Perform necessary information gathering, analysis, synthesis, and reporting to ensure compliance with local, state and federal benefits regulations.
Partner with carriers, vendors, business segments to assemble required data elements. Partner with functional subject matter experts (SME) (payroll, legal, etc.) for filing, reporting, and remitting payments. Requires a working knowledge of healthcare industry regulations and practices.
Resolve healthcare plan operational issues of medium to large (complex) scope (defined by limited or transparent participant impact) issues surrounding data sharing between carriers and/or vendors, and issues resulting from insufficient or inaccurate process mapping.
Researches program requirements and/or contracts. Identifies best practices. Reviews vendor expectations/capabilities. Seeks direction from leadership and functional SMEs when conflicts arise. Recommends most efficient/effective solutions.
5 -7 years of experience working in health care program operations (internal or outsourced) or consulting position with large, complex organization.
Demonstrated success collaborating on large teams.
Knowledge of health, pharmacy, dental, vision federal and state regulations, administrative best practices, advanced project management and vendor management skills.
Extremely well organized, excellent interpersonal and diplomacy skills.
Excellent analytic skills.
Expert in MS Access and Excel; Proficient in extractions from ERPs and data warehouses.
Knowledge of health, pharmacy, dental and vision provider networks, health, pharmacy, dental and vision plan administration best practices, contract negotiation and administration, etc.
Familiarity in writing data warehouse queries; SAP (R/3 and BW); Cognos database management GUIs. Proficiency in project management software.
Bachelor’s degree or equivalent work experience
Working toward Group Benefits Associate (GBA) or Certified Employee Benefits Specialist (CEBS) designation or equivalent is a plus.
About The Walt Disney Company (Corporate):
At Disney Corporate you can see how the businesses behind the Company’s powerful brands come together to create the most innovative, far-reaching and admired entertainment company in the world. As a member of a corporate team, you’ll work with world-class leaders driving the strategies that keep The Walt Disney Company at the leading edge of entertainment. See and be seen by other innovative thinkers as you enable the greatest storytellers in the world to create memories for millions of families around the globe.
About The Walt Disney Company:
The Walt Disney Company, together with its subsidiaries and affiliates, is a leading diversified international family entertainment and media enterprise with the following business segments: Disney Entertainment, ESPN, Disney Parks, and Experiences and Products. From humble beginnings as a cartoon studio in the 1920s to its preeminent name in the entertainment industry today, Disney proudly continues its legacy of creating world-class stories and experiences for every member of the family. Disney’s stories, characters and experiences reach consumers and guests from every corner of the globe. With operations in more than 40 countries, our employees and cast members work together to create entertainment experiences that are both universally and locally cherished.
This position is with Disney HR Strategies & Services, LLC, which is part of a business we call The Walt Disney Company (Corporate).
Disney HR Strategies & Services, LLC is an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability, protected veteran status or any other basis prohibited by federal, state or local law. Disney fosters a business culture where ideas and decisions from all people help us grow, innovate, create the best stories and be relevant in a rapidly changing world.