Manager, Strategic Operations (Healthcare)

TL;DR

Manager, Strategic Operations (Healthcare): Coordinating and managing cross-functional work and strategic operations for payment integrity delivery with an accent on process design, change management, and operational efficiency. Focus on risk remediation, developing operational strategies, and improving payer-provider collaboration using data-driven insights.

Location: Fully remote, must be based in the United States

Salary: $105,000 - $115,000

Company

Clinical intelligence platform providing AI-powered solutions to streamline healthcare access and payment integrity.

What you will do

• Manage staff responsible for provider outreach to support audit operations.
• Lead cross-functional initiatives within Service Operations and for external clients to align on execution paths.
• Design and execute change management for new processes, programs, and pilots.
• Develop process flows, policies, procedures, playbooks, and training materials.
• Perform ad-hoc strategy, research, and analytics to guide business decisions.
• Build and cultivate relationships with cross-functional teams and external partners.

Requirements

• BS Degree.
• 8+ years of Healthcare Operations experience in Claims, Payment Integrity, or Contact Center environments.
• Proven success in large-scale change management, process design, or business management roles.
• Strong analytical experience working with healthcare datasets to drive business outcomes.
• Proficiency in process mapping tools such as Lucid Charts or Visio.
• Must be based in the United States.

Nice to have

• Specific experience in Payment Integrity.
• Experience working with cross-functional remote and offshore teams.

Culture & Benefits

• Fully remote work opportunity.
• Comprehensive medical, dental, vision, life, and disability insurance.
• 401K retirement plan with company match, plus flexible spending (FSA) and health savings accounts (HSA).
• Flex Time Off and observed company holidays.
• Up to 14 weeks of paid parental leave and pet insurance.

Hiring process

• Preliminary phone screening with Talent Acquisition.
• Interview with the Hiring Manager.
• Behavioral interview(s).