Member Provider Optimization Associate
Job Summary
The Associate, Member and Provider Optimization leads the design, optimization, and implementation of processes to support organizational goals. You will work cross-functionally with business and technical stakeholders to manage projects, document requirements, and analyze operational performance. This role is responsible for driving process improvements and strategic initiatives to enhance departmental efficiency.
Responsibilities
- Manage cross-functional end-to-end project implementations.
- Analyze departmental performance and develop operational metrics.
- Design and implement process improvements and change management strategies.
- Mentor team members and ensure regulatory compliance.
Required Skills
- 3+ years in operations, insurance, or data analysis.
- Proficiency in Excel, SQL, or Python.
- End-to-end project management expertise.
- Experience with Lean or Six Sigma methodologies.
Job Details
Responsibilities:
- Lead the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion.
- Evaluate overall departmental performance by creating, gathering, analyzing data and assisting in development of departmental metrics and implementation of mitigation strategies.
- Collaboratively works with all relevant partner groups to create proactive implementation, communications, and program strategies for successful change management and risk mitigation programs.
- Mentor team members and promotes colleagues' growth.
- Compliance with all applicable laws and regulations.
- Other responsibilities as assigned.
Requirements:
- A bachelor's degree or 3+ years commensurate experience.
- 3+ years of work experience in operations, health insurance, data analysis, engineering or consulting.
- 2+ years of experience using data software such as Excel, SQL, Python or other data analytics tools.
- 2+ years of experience with end-to-end project management.
- 2+ years of experience designing and improving workflows and standing up accompanying operating and technical procedures.
- 2+ years of experience with process improvement methodologies such as Lean, Six Sigma or Theory of constraints.
Bonus points:
- Bachelor's degree in Engineering, Business Administration, or other related field.
- Lean Six Sigma Green Belt certification or higher.