HEDIS Non-Standard Supplemental Operations Lead

OperationsOperationsFull TimeRemoteTeam 10,001+Since 1961H1B SponsorCompany SiteLinkedIn

Location

California + 3 moreAll locations: California, Illinois, Montana, South Dakota

Posted

15 days ago

Salary

$117.6K - $161.7K / year

Bachelor Degree7 yrs expEnglish

Job Description

• Establish and maintain effective professional relationships with key upstream and downstream partners • Management of program documentation, workgroups, and supporting infrastructure • Coordinate across lanes to understand, advise, and influence future product development and operational expansion • Develop deeper market relationships to translate market-specific needs into operational processes, controls, and evolution of technological solutions and reporting • Support exploration, development, and piloting of HEDIS vendor capabilities to enhance operational processes across the two seasons; includes RFP and ongoing vendor evaluation as vendor capabilities advance and expand • Facilitate initiatives to broaden data collection and enhance manual clinical review processes amidst technological and technical specification changes • Provide leadership and guidance on continuous improvement efforts with enterprise partners to ensure HEDIS operational needs are accounted for, drive best practice standards, and facilitate communication and sign-off from stakeholders

Job Requirements

  • Bachelor's degree
  • 7 or more years of experience in operations, strategy and/or program management
  • 2 or more years of project leadership experience
  • Process improvement experience
  • Healthcare experience
  • Strong analytic experience
  • Demonstrated ability to articulate ideas effectively in both written and oral forms

Benefits

  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance

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