Senior Specialist, Issue Management
Core
Design, optimize, and implement processes and improvements to provider operations to resolve critical bottlenecks and achieve organizational goals.
Role type
Senior Specialist, Issue Management (Operations)
Builds
Technology-enabled processes and solutions for provider operations
Domain
Health insurance / Provider operations
Required skills
Provider operations, Process improvement, Data analysis, Project coordination, Lean Six Sigma, RFP development
Preferred skills
ACA marketplace, Claims, Healthcare quality, Management consulting, Matrixed organization experience
Technologies
None explicitly stated
Responsibilities
Identify risks and resolve issues/errors/escalations through investigation; Coordinate projects and processes to ensure milestones and service levels are met; Partner with leadership to strategize and manage arrangements aimed at lowering costs or improving outcomes; Partner with cross-functional teams to align action plans with continuous improvement goals; Support the management, stewardship, and analysis of data to support compliant and performant business operations; Provide recommendations that ensure financial discipline and quality; Support identifying and implementing process improvement initiatives to optimize operational efficiency.
Seniority
Senior, hands-on IC