Oversees the member experience through the lens of voice of the customer and other key experience value drivers.
Leverage LEAN/Six Sigma methodologies and KPI tracking to identify issues, uncover root causes, gaining in-depth insights into the underlying factors shaping the member experience.
Collaborates closely with Member Research & Insights, Product, Sales, Network, Contact Center, internal business unit leaders, and other Shared Service partners.
Provides strategic oversight and direction in monitoring and analyzing the comprehensive end-to-end member journey.
Leverages data and initiates high-impact research to proactively identify pain points and uncover unmet needs.
Leads cross-functional collaboration to develop solutions that improve the member experience with the health plan.
Leads initiatives to resolve member pain points across key priorities by analyzing complaint trends across member types.
Requirements
Bachelor's Degree in Healthcare Administration, Business or related field or equivalent experience
4+ years Experience with KPI development, using performance dashboards and reports, and project management software
Advanced level of problem solving and critical thinking to assess issues from multiple perspectives
Knowledge of CMS regulatory, Complaint and Grievance processes, healthcare delivery, Data analysis and reporting, CRM and call center platforms, Survey and feedback tools preferred.
Workflow and project management tools, Digital communication tools, Lean/Six Sigma methodologies or other process/continuous improvement strategies preferred.
CSSBB - Six Sigma Black Belt or Green Belt or other project management tools preferred.
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
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