Senior Issue Management Specialist
Job Summary
The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes to enhance provider operations. This role is responsible for overseeing critical operational bottlenecks and implementing lean, scalable tools to achieve organizational goals. You will report to the Director of Process Improvement and work in a fully remote environment based in Dallas.
Responsibilities
- Identify risks and resolve operational issues
- Coordinate projects to meet service levels
- Partner with leadership on cost/outcome improvements
- Analyze data to ensure compliant operations
- Implement process improvement initiatives
Required Skills
- 1+ years healthcare operations experience
- Data analysis and metrics tracking
- Workflow design and process improvement
- Senior stakeholder communication skills
Job Details
### Position Overview
The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.
### Responsibilities
- Identify risks and resolve issues/errors/escalations through investigation to inform insights for technology-enabled processes.
- Coordinate projects and processes to help ensure key milestones and service levels are met.
- Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes.
- Partner with cross-functional teams to ensure action plans align 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 and achieve performance targets.
- Ensure compliance with all applicable laws and regulations.
### Requirements
- 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field.
- 1+ years of experience using data and metrics to drive improvements.
- 1+ years of experience in process improvement and workflow design.
- 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership.
### Bonus Qualifications
- ACA marketplace, provider network, claims, healthcare quality, or provider data experience.
- Management consulting experience.
- Training or experience applying Continuous Process Improvement or Lean Six Sigma principles.
- Experience with project coordination or management in a matrixed organization.
- Experience supporting RFP development and implementation of software or service solutions.