Manager Strategy Operations
Job Summary
The Manager of Strategy & Operations will oversee Utilization Management optimization by translating departmental goals into functional workflows. You will manage clinical protocol implementation, organizational changes, and resolve technical or regulatory challenges to improve member and provider experiences. This role requires leading cross-functional initiatives and mentoring staff to ensure high standards of accuracy and operational efficiency.
Responsibilities
- Lead end-to-end cross-functional projects and strategic initiatives
- Develop metrics and evaluate departmental performance
- Collaborate with stakeholders on communication and program strategies
- Manage organization-wide events and special projects
- Mentor team members and oversee staff growth
Required Skills
- 4+ years healthcare strategic planning or consulting
- 3+ years project/program management
- Enterprise-wide initiative execution
- Data-driven improvement skills
- Prior Authorization and UM knowledge (preferred)
Job Details
Responsibilities:
- Lead end-to-end management of cross-functional projects 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 develop metrics, track progress on priorities, and implement mitigation strategies for new needs.
- Collaborate with internal and external stakeholders to formulate communication and program strategies, ensuring clarity 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 projects.
- Mentor team members and may directly oversee staff to promote professional growth and ensure consistent departmental execution.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
Requirements:
- 4+ years of strategic planning or management consulting experience in the healthcare payer or provider space.
- 3+ years of experience in delivering projects/programs.
- Executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all 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 Sigma Certifications.