**Experienced Claims Analyst – Waste & Abuse Ideator at arenaflex**

Join arenaflex, a leading healthcare company dedicated to delivering innovative solutions that improve patient outcomes and enhance the overall healthcare experience. As a Claims Analyst – Waste & Abuse Ideator, you will play a critical role in supporting the Waste and Misuse program within Investigation and Conduct Change. This dynamic position offers a unique opportunity to make a meaningful impact on the healthcare industry while advancing your career in a fast-paced and collaborative environment.

• *About arenaflex**

arenaflex is a healthcare company that shares a singular, clear purpose: carrying our heart to every moment of your wellbeing. Our purpose guides our commitment to delivering upgraded human-driven healthcare for a rapidly changing world. Moored in our brand – with heart at its core – our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We empower every individual who works at arenaflex to feel enabled by the role they play in transforming our lives and accelerating our ability to develop and deliver solutions that make healthcare more personal, accessible, and affordable.

• *Position Synopsis**

As a Claims Analyst – Waste & Abuse Ideator, you will be responsible for managing a variety of administrative and project management tasks within the Waste and Misuse program, including daily oversight and management of clinical records inventory, ongoing monitoring and responding to system post box submissions, and updating project documentation as needed. You will identify and investigate program-specific issues, develop solutions, and lead the resolution of issues in collaboration with internal colleagues, external vendors, and suppliers.

• *Key Responsibilities:**

• Identify key business drivers for your area of responsibility
• Develop the ability to communicate effectively with internal and external partners
• Clarify item vision and methodology for partners within A&BC, recognizing fully how the item aligns with arenaflex
• Identify suitable data sources for analysis solutions
• Conduct daily monitoring of clinical record inventory to determine choice results
• Work directly with key junior partners
• Develop the ability to analyze an issue or complaint, plan a solution, and execute a response
• Develop the ability to work autonomously
• Assist with the support of overall program documentation
• Drive engagement with colleagues
• Develop the ability to seek solutions to issues by collaborating with others
• Will work with Program Manager to plan and prioritize
• Develop cycles of assessing prioritization of issues and goals
• Write clear, concise communication that accurately reflects the information with direction

• *Required Capabilities:**

• 3-5 years of industry experience with healthcare claims, guarantee handling, and guarantee stages
• 3+ years in claims handling experience and knowledge within ACAS, QNXT or HRP (HRP strongly preferred)
• Proficient in QuickBase
• Ability to work autonomously
• Strong analytical and research skills
• Ability to explore data and identify data assets
• Conscientious
• Strong verbal and written communication skills

• *Preferred Capabilities:**

• Ability to interact with various groups at various levels
• Ability to use organization systems to obtain pertinent electronic documentation
• Knowledge of arenaflex's strategies and techniques
• Demonstrated written and verbal communication skills with the ability to present data to diverse audiences
• Proficiency in Word, Excel, Database search tools, and the use of the Intranet/Web to explore data

• *Training:**

• Preferred Four-year degree or three years of equivalent experience in the healthcare industry

• *Compensation:**

• The average compensation range for this role is:
• This compensation range represents the base hourly rate or base yearly full-time compensation for all positions in the job grade within which this position falls. The actual base compensation offer will depend on various factors, including experience, education, geography, and other relevant elements. This position is eligible for a arenaflex reward, commission, or temporary motivator program in addition to the base compensation range listed above.

• *Benefits:**

• arenaflex offers a comprehensive range of clinical, dental, and vision benefits. Eligible employees may enroll in the arenaflex 401(k) retirement savings plan, and a Stock Purchase Plan is also available for eligible employees. arenaflex provides a fully paid term life insurance plan to qualified employees, and short-term and long-term disability benefits. arenaflex also offers various wellness programs, education assistance, free development courses, a CVS store discount program with participating partners. Regarding downtime, arenaflex employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. The number of paid holidays, sick time, and other time off are provided consistent with applicable state law and Company policies.

• *How to Apply:**

• All eligible candidates can apply for this role as mentioned below
• Read the official notification carefully from the official website
• Read the notification carefully before applying
• Fill out the application form (the link is given below)
• Attach the required document and passport-size photo with signature
• Then submit. Done.