Oversee operations, and business strategy utilizing cross-functional departments to meet strategic objectives
Develop and manage methodologies for tracking, identifying and problem-solving issues, interpreting and presenting program results and insights, and developing data-driven analysis approach for clients
Perform data analysis from a variety of data sources to evolve the metrics used to measure effectiveness and return on investment of all current and new product activity
Collaborate with staff to identify internal and external customers and their expectations, initiate process changes to increase quality, decrease costs and improve staff, provider and member satisfaction
Facilitate and support operations staff in the planning, achievement, and tracking of the organizations key strategic initiatives to create a positive impact on organizational scorecard
Serve as an internal resource and advisor on improvement activities
Explore new approaches to work processes by utilizing quality improvement techniques to eliminate waste and re-work
Able to travel up to 25%
Requirements
Bachelor’s degree in Business Administration, related field, or equivalent experience
4+ years experience in operational business processes or data analysis, preferably in the managed care or insurance industry
Practical experience implementing continuous improvement via Six Sigma or Total Quality Management (TQM) is desirable
Experience working within a matrix environment preferred
Knowledgeable of NCQA and HEDIS measures strongly 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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