Job Details

Description

• Design, deliver routine, variance, and ad hoc performance reports and analysis to Claims, Print & Mail, and Enrollment Program leadership that provide actionable insights and drive increased performance.
• Lead strategy of specialized, and cross-functional workgroups to address systematic and high-impact issues, from problem diagnosis to the implementation of solutions.
• Partner with internal teams like IT and Corporate Data & Analytics to enhance, maintain, and validate the accuracy of dashboard and reporting tools, as well as promote the use of automation tools.
• Manage and align project managers on common tasks, ranging from corporate-level projects to ad hoc incident resolution.
• Foster a culture of continuous improvement, including documenting current processes and proposing new solutions aligned with the future state.
• Collaborate with production leadership and business units to develop relevant, timely, and effective training on organizational changes and quality issues.
• Drive payment integrity programs to maximize benefits for HMSA.
• Perform other duties as assigned.

Qualifications

• Bachelor's degree and at least seven years of related work experience, or an equivalent combination of education and experience.
• Minimum of five years of management experience.
• Experience in strategic planning.
• Excellent written and verbal communication skills, with a proven ability to engage with senior leadership and partner organizations.
• Knowledge of the healthcare industry, including payment and delivery models, systems, and the role of health plans.
• Intermediate proficiency in Microsoft Office applications, including Word, Excel, and Outlook.