Analyst III – Business Support, Clinical

GuideWell Source

. Research, analyze, maintain, modify, validate, and prepare data, information, and content used in business decisions .

Posted 11/11/2026full-timeFlorida • United StatesMid-LevelSenior💰 $59,800 - $97,100 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare regulations, utilization management processes, and data analytics, while effectively communicating and collaborating with interdisciplinary teams to enhance clinical data reporting and system workflows.

Highest-signal resume keywords

Healthcare Regulations UnderstandingUtilization Management Processes KnowledgeData Analytics Tools ExperienceClinical Systems ExperienceProject Management Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisClinical Data ReportingPrior Authorization WorkflowsRegulatory Reporting StandardsQuality Metrics KnowledgeValue-Based Care InitiativesCMS-0057F Prior Auth Metrics KnowledgeNCQA Reporting & Preparation KnowledgeInformation ExtractionTechnical Solutions Translation

Soft Skills

Effective CommunicationCollaborationAdaptabilityPresentation SkillsInterdisciplinary Team Education

Tools & Technologies

EMR SystemsMCGMC400MHKVisualization Software

Industry Keywords

Healthcare Domain ExpertiseContinuous ImprovementClient RelationsBusiness Process ManagementProject Control

About the role

Key responsibilities & impact

Research, analyze, maintain, modify, validate, and prepare data, information, and content used in business decisions
Present findings and articulate results
Monitor, maintain, and test company systems that manage business and work processes
Monitor and evaluate solutions, policies, practices, and processes for continuous improvement, client relations, compliance, and adherence to requirements
Recommend improvements to deliver high-quality, value-added services
Produce, edit, and distribute business documents, reports, and system and process documentation
Create, present, and facilitate meetings, webinars, conference calls, training programs, education sessions, and certifications for primarily internal audiences
Participate in or lead smaller departmental projects and project components
Plan, organize, monitor, and control projects to ensure effective resource use and adherence to project management and reporting standards
Participate in or lead department/divisional workgroups and initiatives
Develop internal partnerships to improve communication, coordination, collaboration, and working relationships

Requirements

What you’ll need

3+ years related work experience
Related Bachelor’s degree or additional related equivalent work experience
Understanding of healthcare regulations such as CMS and NCQA
Knowledge of utilization management processes, prior authorization workflows, and regulatory reporting standards
Knowledge of CMS-0057F Prior Auth Metrics
Knowledge of NCQA Reporting & Preparation
Familiarity with quality metrics and value-based care initiatives
Experience with clinical systems such as UM Prior Authorizations, Grievance & Appeals, Care Management, and EMR, including MCG, MC400, and MHK
Experience with data analytics tools and visualization software
Ability to learn and adapt to new healthcare technologies and software applications
Clinical data resource expertise and advisory capability for UM leadership and stakeholders
Ability to educate interdisciplinary teams on clinical data reporting, information extraction, and system workflows
Ability to translate clinical needs into technical solutions
Healthcare domain expertise and understanding of clinical work and processes
Ability to combine clinical knowledge and analytical skills to bridge communication between technical teams and clinical stakeholders
Sedentary work capability, exerting up to 10 pounds of force occasionally

Benefits

Comp & perks

Medical, dental, vision, life and global travel health insurance
Income protection benefits, including life insurance and short- and long-term disability programs
Leave programs to support personal circumstances
Retirement Savings Plan including employer match
Paid time off
Volunteer time off
10 holidays
2 well-being days
Additional voluntary benefits
Comprehensive wellness program
Opportunities for incentive or commission compensation
Annual pay-for-performance reviews with consideration for base pay increases