Manager, Strategic Operations

Responsibilities

• Manage staff responsible for provider outreach to support audit operations
• Drive several work types across cross functional areas within Service Operations and external clients, leading the team members involved and able to clearly articulate a path forward and quickly align
• Design, execute and support change management to ensure inclusive, complete, successful implementation of new processes, programs and pilots
• Create process flows, policies & procedures, job aides playbooks and training material
• Focus team on risk remediation and opportunity identification with strong emphasis on solutions
• Perform adhoc strategy, research, modeling and analytics on projects to help guide decision making in an ever evolving business model
• Partner across the organization on an as needed basis to ideate, execute and perform data analysis on user experience utilizing an Operations viewpoint
• Build and cultivate relationships with cross-functional teams within the organization and with external partners
• Develop high quality decks and presentation materials for presentation to leadership on an as needed basis
• Anticipate bottlenecks, provide management escalation, prioritize and execute projects, balance business needs vs. technical constraints, ensure quality, and assist in driving results

Requirements

• BS Degree
• 8+ Years Healthcare Operations experience in Claims, Payment Integrity or Contact Center/Production environment
• Demonstrated success and experience in large scale change management, process design, and/or business management roles
• Strong analytical experience working with healthcare (claim or audit preferred) datasets to draw actionable insights that drive business outcomes.
• Experience creating policies and procedures, FAQs, training guides, etc, that break complex processes and information into understandable and relatable terms.
• Ability to work and generate clarity in complex and ambiguous situations while responding to time sensitive situations with grace
• Proficient in process mapping tools such as Lucid Charts, Vizio
• Proven ability to work cross functionally to understand the business needs and create practical solutions and operational strategies that support those needs
• Intellectual curiosity with a strong desire to understand a problem and work it to a viable solution
• Passionate about continuous process improvement, always actively seeking out practical solutions to challenging business problems
• Payment Integrity experience preferred
• Experience with cross functional remote and offshore teams
• Proficient in developing presentations that tell a complete story
• Pay & Perks:
• 💻 Fully remote opportunity
• 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
• 📈 401K retirement plan with company match; flexible spending and health savings account
• 🏝️ Flex Time Off + company holidays
• 👶 Up to 14 weeks of paid parental leave
• 🐶 Pet insurance
• Interview Process*:
• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager!
• Behavioral Interview(s)
• *Subject to change
• About Cohere Health:
• Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior au

Benefits

Additional Information

Opportunity Overview: The Strategic Operations Manager position is a crucial role in our organization as business needs change quickly - in this role you are responsible for managing a full range of activities that will positively impact the organization and contribute to guiding the strategic operations for the company. The Payment Integrity Operations Delivery team is seeking an experienced, results driven Strategic Operations Program manager to coordinate and manage work, often cross functionally. In addition, this role will support strategy, process design, planning, implementation and management of new programs including key initiatives within Delivery Operations The role is highly collaborative, and you will be expected to create clarity in a complex organizational environment, generate energy through a bias towards action, and deliver results.

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