Payment Integrity Specialist – Strategic Initiatives
Core
Leads business case development, strategic planning, and large-scale cross-functional initiatives to drive performance improvement and financial gains in healthcare/insurance.
Role type
Senior Business Process Consultant (Strategic Initiatives)
Builds
Strategic business plans, business cases, and cross-functional initiatives
Domain
Healthcare / Insurance
Required skills
Business case development, strategic planning, cross-functional leadership, project management, data analysis, process mapping, policy guidance, team organization, communication
Preferred skills
Healthcare/insurance domain expertise, Master's degree, PMP certification for Health Net/Enterprise
Technologies
Excel, PowerPoint, Visio, Microsoft Project
Responsibilities
Lead business case development for proposed initiatives; Support strategic planning and prioritization; Ensure initiatives align with strategic business objectives; Transition approved business cases to initiatives; Lead large-scale cross-functional initiatives; Provide strategic and policy guidance; Organize work teams and drive consensus; Perform detailed analysis of data, workflows, and policies; Lead staff responsible for initiatives; Assist other project leaders with facilitation and analysis; Write and deliver organizational communications.
Seniority
Senior, hands-on IC