Operations Lead, DUAL Program Management
Core
Oversee day-to-day health plan operations, ensuring operational readiness, regulatory compliance, and effective execution of strategic initiatives across Integrated Plans.
Role type
Senior IC operations lead (health plan market operations)
Builds
Operational readiness for product launches, benefit changes, and market expansions; executive-level reporting and presentations
Domain
Healthcare / Managed Care / Health Plan Administration
Deliverable
dashboards & analysis
Required skills
Cross-functional leadership, regulatory compliance (CMS/state), operational risk management, issue resolution, executive reporting, financial remediation analysis, D-SNP/FIDE/HIDE/MLTSS program experience, Microsoft Excel/PowerPoint proficiency
Preferred skills
Experience leading operational transformation initiatives, strong analytical and problem-solving skills
Responsibilities
Provide operational oversight and coordination across health plan functional areas; lead cross-functional efforts to resolve operational issues; establish and maintain operational readiness processes; monitor operational performance and escalate risks; develop executive-level reports and presentations; support state, CMS, and internal audit activities; monitor regulatory changes and contract requirements; support financial remediation efforts; provide operational leadership during critical incidents.
Seniority
Senior, hands-on IC
