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 network management
Domain
Health insurance / Provider operations
Required skills
Provider operations, Process improvement, Data analysis, Project coordination, Stakeholder management, Lean methodologies
Preferred skills
ACA marketplace, Claims, Healthcare quality, Management consulting, Lean Six Sigma, RFP development
Technologies
Data and metrics tools
Responsibilities
Identify risks and resolve issues/errors/escalations through investigation, Coordinate projects to ensure milestones and service levels are met, Partner with leadership to strategize cost-lowering arrangements, Support data management for compliant business operations, Provide recommendations ensuring financial discipline and quality, Implement process improvement initiatives to optimize efficiency