20 часов назад
Senior Manager, Operations
130 560 - 208 896$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Manager, Operations (Health Plan Operations): Overseeing membership, enrollment, claims, customer service, fulfillment, and system-support operations with an accent on operational accuracy, member experience, vendor performance, and analytics. Focus on designing scalable processes, driving Lean and Six Sigma improvements, managing performance guarantees, and resolving complex operational escalations.
Location: Hybrid Flex - Durham, United States
Salary: $130,560.00–$208,896.00 annually, plus an annual incentive bonus.
Company
delivers health care coverage and services with a focus on community investment and member experience.
What you will do
- Lead the Operations Center of Excellence and oversee functions including membership, enrollment, system support, customer service, claims, and fulfillment.
- Manage enrollment operations, quality assurance, data integrity, KPIs, analytics, and continuous process improvement.
- Oversee claims performance guarantees, approvals, client RFPs, fulfillment operations, and end-to-end inventory management.
- Manage enrollment-system vendors and partners, monitoring service delivery and performance.
- Design scalable processes, identify standardization and automation opportunities, and apply Lean and Six Sigma methodologies.
- Develop budgets, staffing models, and performance standards while resolving escalations and reporting operational updates to senior health plan leadership.
Requirements
- Bachelor’s degree or advanced degree where required.
- 8+ years of experience in a related field, or 10+ years in lieu of a degree.
- Experience leading operational functions and collaborating across sales, implementation, configuration, service, digital services, continuous improvement, and workforce management.
- Strong analytical, strategic problem-solving, performance management, and resource-planning skills.
- Ability to work in a hybrid role based in Durham, United States.
Nice to have
- Extensive experience in health plan claims, membership, and customer service operations.
- Experience applying Six Sigma, Lean, or continuous improvement methodologies.
- Experience with Facets claims and membership processing systems.
Culture & Benefits
- Work-life balance, flexibility, and autonomy.
- Medical, dental, and vision coverage with health and wellness programs.
- Parental leave, adoption assistance, and surrogacy assistance.
- Career development programs and tuition reimbursement.
- 401(k) match with an annual company contribution.
- Paid time off and an annual incentive bonus based on corporate and individual performance.
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