Added
8 days ago
Type
Full time
Salary
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Related skills

financial modeling roi cost-benefit analysis irr healthrules payer

πŸ“‹ Description

  • Lead complex advisory engagements from current-state assessment through transformation planning and
  • Assess health plan core administration technology and operations across claims, enrollment
  • Identify root causes of cost, quality, compliance, service, and operational performance gaps
  • Translate assessment findings into future-state roadmaps and business and technology blueprints
  • Develop compelling transformation strategies centered on improved efficiency, compliance, service
  • Quantify opportunities such as cost reduction, service-level improvements, and error reduction

🎯 Requirements

  • 10+ years of experience in health plan operations leadership or consulting focused on health plan
  • Strong expertise across areas such as claims, enrollment, billing, and member or provider services
  • Demonstrated experience managing teams and leading operational assessments
  • Track record of translating complex findings into board- and C-suite-ready recommendations
  • Experience evaluating transformation initiatives and diagnosing operational or execution challenges
  • Working knowledge of core administrative platforms such as HealthRules Payer, Facets, QNXT, or

🎁 Benefits

  • Annual US base salary range of $290,000–$318,000
  • Full-time, permanent employment
  • Fully remote position within the United States
  • Opportunity to work across multiple time zones in a remote or hybrid environment
  • Potential travel based on business needs
  • Executive-level exposure to health plan transformation, technology, operations, and strategy
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