SOP Analyst

SOP Reviewer

Required Skills & Experience: 3+ years of experience in process documentation, operations, or SOP review. Experience in healthcare payer operations (must understand workflows). Knowledge of compliance frameworks (NCQA, CMS strongly preferred). Strong attention to detail and ability to follow instructions exactly. Ability to simplify complex processes into clear, step-by-step guidance. Experience identifying gaps in processes or documentation. Comfortable working through high-volume, repetitive review work. Strong written communication skills.

Nice to Have Skills & Experience: Experience working on directory accuracy or similar compliance-driven initiatives. Background in process improvement or process design. Experience working directly with SMEs to refine documentation. Familiarity with audit/review workflows or quality assurance processes. Experience working in structured review timelines or deliverable-based projects.

Role Summary: This role is focused on reviewing and refining Standard Operating Procedures (SOPs) to make them clear, usable, and compliant. You'll take a set of ~35 SOPs and break them down step-by-step from a front-line perspective, ensuring anyone unfamiliar with the process can follow them without confusion. The goal is to identify gaps, improve clarity, and align documentation with payer and compliance standards (especially NCQA/CMS). This is a hands-on, detail-driven role where simplicity, accuracy, and strong process thinking are critical.

What You'll Do: Review and audit ~35 existing SOPs for clarity, usability, and completeness. Translate SOPs into clear, step-by-step instructions that a new user can follow. Identify process gaps, missing steps, and areas that would cause confusion. Ensure SOPs align with payer operations and compliance standards. Highlight limitations (ex: where source-of-truth data cannot be modified). Work through SOPs in a structured weekly cadence (35 per week). Partner with SMEs to validate gaps and gather missing details. Support final edits and consistency before documentation is published.