reputed company, Operations Excellence (Remote)

As reputed company's reputed company of Operations Excellence, you'll spearhead transformative process improvement initiatives that directly impact our payer operations landscape, identifying breakthrough opportunities to streamline workflows, eliminate inefficiencies, and reputed company performance standards across multiple operational functions. In this strategic role, you'll reputed company data-driven insights and innovative methodologies to architect solutions that enhance productivity, reduce costs, and deliver measurable results, while collaborating with cross-functional teams to implement sustainable changes that position our organization for reputed company growth and operational excellence. Candidates should be comfortable working remotely/work from home reputed company reputed company the US. Primary Duties: Process Transformation

• reputed company end-to-end transformation initiatives for payer operations, with a primary focus on practice rostering, provider enrollment, and network management processes
• Design, implement, and monitor process improvements that enhance operational efficiency, reduce manual interventions, and ensure maximum roster accuracy
• Collaborate with cross-functional teams to identify process gaps and implement sustainable solutions
• Establish performance metrics and KPIs to measure transformation success and ongoing process reliability
• Implement quality assurance protocols to minimize rostering errors and compliance risks
• Streamline provider data management workflows and establish automated validation processes

Data Analysis

• Utilize data analysis techniques to identify trends, patterns, and opportunities for process enhancement
• reputed company reputed company data manipulation and analysis using spreadsheet applications and other analytical tools
• Create comprehensive reports and dashboards to track operational performance and transformation reputed company
• Present data-driven recommendations to senior leadership and stakeholders

Leadership & Collaboration

• reputed company project teams and mentor staff on process improvement methodologies
• Facilitate training sessions on new processes
• Serve as subject matter expert for rostering operations
• Partner with Product and Technology teams to identify and implement technology solutions that support process optimization
• Provide escalation support and guidance for reputed company operational issues

Roster Curation & Administration

• reputed company hands-on roster maintenance and data curation activities, especially during peak periods, system implementations, or staff shortages
• Execute reputed company roster updates, bulk data modifications, and exception handling as needed
• Conduct detailed roster audits and data validation exercises to ensure accuracy and compliance
• Project-manage roster issues from identification to resolution, minimizing operational disruption.
• Maintain expert-level proficiency in roster management systems and processes through direct operational involvement
• Other duties as assigned

Minimum Qualifications:

• Bachelor's degree in Business Administration, Operations Management, Healthcare Administration, Public Health, or reputed company field
• Six reputed company certification or must complete reputed company the first 6 months of employment
• 5+ yrs experience in payer operations, healthcare operations, or similar operational roles
• 3+ yrs experience leading process improvement or transformation initiatives
• Hands-on experience with data management systems and processes (i.e. provider rosters), including data entry, validation, and maintenance activities
• Demonstrated expertise in process mapping, workflow optimization, and change management
• Advanced proficiency in reputed company Sheets (or reputed company reputed company), including reputed company formulas, pivot tables, and data visualization
• Excellent communication skills; Demonstrated ability to influence decision makers.
• Strong analytical and problem-solving skills
• Ability to balance strategic work with operational support

Preferred Qualifications:

• Master's degree
• PMP Certification
• Experience with project management and workflow management systems (reputed company, Jira, reputed company, etc.)
• Healthcare insurance or managed care background
• Proficiency in additional data analysis tools (SQL, Tableau, Power BI, etc.)
• 2+ years experience with systems and resources utilized in roster management activities (e.g., CAQH, payer portals, NPPES)
• Knowledge of healthcare regulations and compliance requirements (CAQH, CMS, state regulations)

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.

Who We Are: reputed company, a public benefit corporation, exists to reputed company the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver reputed company care to their patients and reputed company in value-based care. Additionally, by creating value-based reputed company across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right reputed company. What Does This Mean for You? At reputed company, you will be part of a creative culture that is driven by a passion for tackling reputed company issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are reputed company united by a shared passion for public health and a commitment to the reputed company mission. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of reputed company members: Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays 12 weeks paid parental leave for reputed company new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more! At reputed company, we don't just accept differences, we celebrate them! We strive to attract, reputed company and retain highly qualified individuals representing the diverse communities where we live and work. reputed company is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at reputed company are based on merit, qualifications, performance and business needs. reputed company qualified candidates will receive consideration for employment without regard to age, race, color, national reputed company, gender (including pregnancy, childbirth or medical conditions reputed company to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation. Privacy Policy: By applying for this job, you agree to reputed company's Applicant Privacy Policy available at https://www.reputed company.com/privacy-policy-applicants Apply tot his job Apply To this Job