Member Provider Optimization Associate
Job Summary
The Associate will lead cross-functional implementation and optimization projects to improve internal processes within the Member & Provider Services department. This role involves data analysis, project management, and strategic collaboration to ensure organizational goals are met efficiently. The position requires a candidate to work remotely from Dallas, Texas, focusing on process design and performance metrics.
Responsibilities
- Manage cross-functional project implementations
- Analyze departmental data and performance metrics
- Drive change management and risk mitigation strategies
- Mentor team members and support professional growth
Required Skills
- 3+ years Health Insurance experience
- End-to-end project management
- Workflow design and process improvement
- Data analysis (Excel, SQL, or Python)
Job Details
Responsibilities:
- Lead end-to-end management of cross-functional implementations and projects, including plan creation, stakeholder engagement, and on-time completion.
- Evaluate departmental performance by creating, analyzing, and interpreting data and metrics, and implementing mitigation strategies.
- Work collaboratively with internal and external stakeholders to create proactive implementation, communications, and program strategies for change management and risk mitigation.
- Mentor team members and promote professional development.
- Ensure compliance with all applicable laws and regulations.
- Perform other duties as assigned.
Requirements:
- 3+ years of work experience in Health insurance.
- 2+ years of experience with end-to-end project management.
- 2+ years of experience designing and improving workflows and standing up operating/technical procedures.
- A bachelor's degree or 3+ years of commensurate experience.
Bonus Qualifications:
- Bachelor's degree in Engineering, Business Administration, or related field.
- Lean Six Sigma Green Belt certification or higher.
- 2+ years of experience using data software such as Excel, SQL, Python, or other data analytics tools.
Benefits:
- Medical, dental, and vision benefits.
- 11 paid holidays, paid sick time, and paid parental leave.
- 401(k) plan participation.
- Life and disability insurance.
- Paid wellness time and reimbursements.
- Unlimited vacation program and annual performance bonuses.