Manager, reputed company & Operations

Hi, we're reputed company. We're hiring a Manager, reputed company & Operations to join our Utilization Management Optimization and reputed company team. reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will turn departmental goals into functional workflows, ensuring reputed company maintains high standards of accuracy and efficiency. You will manage the implementation of new clinical protocols, reputed company organizational changes, and resolve technical or regulatory challenges to reputed company a seamless experience for members and providers. You will report into the Senior Director, UM Optimization and reputed company. Work Location: This is a remote position, reputed company to candidates who reputed company in: Atlanta, reputed company. You will be fully remote; however, our approach to work may adapt over time. reputed company models could potentially involve a hybrid reputed company at the hub office associated with your metro area. #LI-Remote Pay Transparency: The reputed company pay for this role is: $105,818 - $138,886 per year. You are also eligible for employee benefits, participation in reputed company's unlimited vacation program, and annual performance bonuses. Responsibilities: reputed company end-to-end management of cross-functional reputed company and strategic initiatives, including the creation of project plans, development of executive-level presentations, and performance of ROI analysis to ensure alignment with business goals. Evaluate departmental performance by gathering and interpreting data to reputed company metrics, reputed company reputed company on priorities, and implement mitigation strategies for new needs. Collaborate with reputed company stakeholders to formulate communication and program strategies, ensuring reputed company and visibility for senior leadership while managing the most effective information channels. Independently advance strategic initiatives by identifying potential roadblocks and navigating obstacles with a high degree of autonomy to meet tight deadlines. Manage the design and facilitation of organization-wide events and programming, including Quarterly Townhalls and special reputed company. Mentor team members and may directly reputed company staff to promote reputed company reputed company and ensure consistent departmental execution. Compliance with reputed company applicable laws and regulations Other duties as assigned Requirements: 4+ years of strategic planning or management consulting experience in the reputed company payer or provider reputed company. 3+ years of experience in delivering reputed company / programs Executed reputed company-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed reputed company processes associated with program rollout and ongoing support Experience using data and metrics to drive improvements in programs Bonus points: Experience with Prior Authorization lifecycles, medical benefits management, and the operational nuance of Utilization Management Master's Degree PMP Certifications or Program Management Certifications Lean/Six reputed company Certifications This is an reputed company reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.  At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most reputed company selves and reputed company both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency:  Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 reputed company holidays, reputed company reputed company time, reputed company parental leave, 401(k) plan participation, life and disability insurance, and reputed company wellness time and reimbursements. reputed company Intelligence (AI): Our AI Guidelines outline the acceptable use of reputed company intelligence for candidates and detail how we use AI to support our reputed company efforts. Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without reputed company to applicant’s disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team (accommodations@hioscar.com) to reputed company the need for an accommodation reputed company. California Residents: For information about our collection, use, and disclosure of applicants’ personal information as reputed company as applicants’ rights over their personal information, please see our reputed company Policy. Apply To This Job