Process Improvement Principal (Healthcare)

Location: Remote within the United States, limited to the Central or Eastern Time Zone; occasional travel to hirify.global offices may be required.

Salary: $115,200–$158,400 per year, plus eligibility for a performance-based bonus incentive plan.

Company

hirify.global is a U.S. healthcare company providing insurance and healthcare services to Medicare, Medicaid, individual, family, military, and community members.

What you will do

• Lead the strategy and approach for provider termination processes in collaboration with Member Retention, Stars, Provider and Member Service, Sales, and Provider Network Operations.
• Oversee coordination and tracking of potential and likely provider terminations across all regions.
• Optimize operational processes and identify and mitigate friction points affecting associates, members, and providers.
• Establish governance, track progress against opportunity areas, and prioritize improvement resources.
• Analyze downstream impacts on Stars performance, member experience and retention, and provider contracting decisions.
• Use data analytics to develop business insights, reporting, and leadership communications, while advising executives on complex functional strategies.

Requirements

• 3+ years of experience in the payer/provider contracting lifecycle.
• 7+ years of experience improving or creating business processes.
• 3+ years of project or people leadership experience.
• Experience leveraging multiple business areas to drive company performance.
• Must be located in the Central or Eastern Time Zone.
• Ability and willingness to travel up to 10% of the time; ability to work from a dedicated space and protect member PHI/HIPAA information.

Nice to have

• Bachelor’s degree.
• Customer service or account management leadership experience.

Culture & Benefits

• Remote/work-at-home arrangement with occasional travel for training or meetings.
• Home internet requirements of at least 25 Mbps download and 10 Mbps upload.
• Medical, dental, and vision insurance.
• 401(k) retirement savings plan, paid time off, holidays, and paid parental and caregiver leave.
• Short- and long-term disability coverage, life insurance, and additional whole-person well-being benefits.