Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
- This role involves overseeing operations and business strategy utilizing cross-functional departments to meet strategic objectives. This Manager serves as the product owner for the HEDIS engine and operational technologies, overseeing hybrid project builds, measure catalog support, and day-to-day execution within related platforms.
- Develop and manage methodologies for tracking, identifying and problem-solving issues
- Interpret and present program results and insights
- Develop data-driven analysis approach for clients
- Perform data analysis from a variety of data sources to evolve metrics for measuring effectiveness and return on investment
- Collaborate with staff to identify internal and external customers and their expectations
- Initiate process changes to increase quality, decrease costs, and improve satisfaction
- Facilitate and support operations staff in planning, achievement, and tracking of key strategic initiatives
- Serve as an internal resource and advisor on improvement activities
- Explore new approaches to work processes using quality improvement techniques
- Able to travel up to 25%
- Qualifications
- 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
- Strong HEDIS operations experience highly preferred
- Requirements
- Ability to oversee operations and business strategy
- Experience in data analysis and problem-solving
- Strong collaboration skills with internal and external customers
- Ability to facilitate and support strategic initiatives
- Willingness to travel up to 25%
- 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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