Client Service Analyst - PPM

The Client Service Analyst (CSA) role ensures adequate support for the client-facing team on coding and policy as well as operational related activities.

The CSA must be familiar with the day-to-day activities of the Client Policy Manager (CPM), Client Service Manager (CSM) and client-facing Medical Directors.

• Supports Client Policy Manager (CPM) through various aspects of the Periodic Update, Prior Approval, and New Policy processes: Generates policy maintenance presentations, assists in the analysis, assists with decision capture, and pulls necessary reports. Generates New Policy Presentations, the associated decision matrices, and pulls all Business Objects (BO) and Presentation Manager (PM) reports for analysis. Assists in formatting both Periodic Update and New Policy Presentation documents for client presentation by the CPM and Medical Director.
• Generates policy maintenance presentations, assists in the analysis, assists with decision capture, and pulls necessary reports.
• Generates New Policy Presentations, the associated decision matrices, and pulls all Business Objects (BO) and Presentation Manager (PM) reports for analysis.
• Assists in formatting both Periodic Update and New Policy Presentation documents for client presentation by the CPM and Medical Director.
• Generates presentations for client and internal ad hoc change requests. For ad hoc requests the CSA documents and finalizes decisions in the appropriate application and creates the Project Request, attaching all documents and assigning to appropriate Operations Team member(s).
• Runs reports to identify and close Project Requests as defined by CPM/CSM after the production release lockdown each month.
• Reviews, analyzes, and responds to Policy and Operational Inquiries by defined desired completion date.
• Communicates to the client team when the desired completion date needs to be adjusted due to complexity and/or additional research.
• Performs multi-faceted data and report analytics. Determines the applicable BO reports to run based on the client team inquiry. Analyzes the report output and provides accurate client or policy information based on thorough report analytics.
• Generates, modifies, and formats Web Intelligence (Webi) reports for ad hoc purposes which includes determining the necessary parameters and building the report, performing analysis and summarizes findings to the client team. Validates the Project Release Validation Report (RVR) report for the client team on an ad hoc or recurring basis.
• Enters client inquiries, report requests, and research requests into the designed software application (i.e., JIRA) for routing, tracking, and completion.