
201 - 500 employees
Founded 2025
đĽ Healthcare
đĄď¸ Insurance
đź Consulting
Healthcare ⢠Insurance ⢠Consulting
Lumelight is a benefits compliance and administration firm that helps employers, brokers, and health systems manage regulatory risk, streamline benefits operations, and reduce costs. The company provides compliance services, claims analytics, dependent eligibility verification, fiduciary solutions, audits, and senior consultant/legal guidance to support ACA reporting, PBM and prescription reviews, and benefits optimization. Lumelight focuses on improving accuracy, lowering employer liability, and delivering measurable savings through integrated consulting and specialized solutions.
đ August 8
đľ Arizona, Florida, +20 more states â Remote
đľ $100k - $120k / year
â° Full Time
đ´ Lead
đˇââď¸ Project Manager
đť Ghost score 0%
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201 - 500 employees
Founded 2025
đĽ Healthcare
đĄď¸ Insurance
đź Consulting
Healthcare ⢠Insurance ⢠Consulting
Lumelight is a benefits compliance and administration firm that helps employers, brokers, and health systems manage regulatory risk, streamline benefits operations, and reduce costs. The company provides compliance services, claims analytics, dependent eligibility verification, fiduciary solutions, audits, and senior consultant/legal guidance to support ACA reporting, PBM and prescription reviews, and benefits optimization. Lumelight focuses on improving accuracy, lowering employer liability, and delivering measurable savings through integrated consulting and specialized solutions.
⢠Translate the three- to five-year company strategy into annual operating plans, quarterly priorities, measurable objectives, and accountable owners ⢠Partner with the CEO on organizational design, capital allocation, pricing, service expansion, technology investment, and market-entry decisions ⢠Establish an executive operating cadence, including leadership meetings, KPI reviews, risk escalation, and decision tracking ⢠Lead major cross-functional initiatives scheduled for implementation between August 2026 and January 2027, including the new 2027 operating model and P&L budget ⢠Own end-to-end delivery across regulatory filing, licensing, compliance, project management, and managed-portfolio services ⢠Build a scalable PMO with consistent intake, scoping, staffing, scheduling, quality assurance, escalation, and client standards ⢠Implement capacity planning, utilization, project profitability, delivery forecasting, and resource-allocation disciplines ⢠Standardize workflows across U.S. and offshore teams while preserving high-quality, client-specific regulatory expertise ⢠Serve as executive sponsor for strategic accounts and ensure early intervention on delivery, relationship, or financial risks ⢠Partner with business development on solution design, pricing, proposals, implementation, and readiness for new sales ⢠Increase recurring revenue through standardized managed-service offerings, annual retainers, and cross-selling across health plan, PBM, TPA, and adjacent markets ⢠Lead adoption of AI-assisted filing workflows, knowledge management, project automation, CRM discipline, and regulatory tools ⢠Identify work that should be automated, standardized, centralized, outsourced, or discontinued ⢠Partner with technology resources to develop ClearFile's long-term regulatory operations platform and supporting data architecture ⢠Build and develop leadership across operations, client services, project management, regulatory delivery, and business support ⢠Implement performance management, role clarity, succession planning, professional development, onboarding, and workforce planning ⢠Launch a standardized PMO and client-success operating model across major engagements ⢠Improve visibility into project margin, capacity, utilization, revenue forecasting, and account risk ⢠Reduce CEO dependency for daily operations and issue resolution ⢠Implement an AI and workflow-automation roadmap tied to productivity and margin improvements
⢠15+ years of progressive leadership experience in healthcare payer operations, regulatory consulting, professional services, managed services, health technology, or a closely related field ⢠Demonstrated success owning operations, client delivery, transformation programs, and financial performance in a growth-stage or entrepreneurial environment ⢠Strong knowledge of healthcare payers, regulatory operations, compliance, project delivery, and technology-enabled services preferred ⢠Executive-level financial acumen, including budgeting, forecasting, pricing, margin management, capacity planning, and P&L accountability ⢠Ability to operate strategically while remaining hands-on, decisive, and highly accountable during rapid change ⢠Executive presence and sound judgment ⢠Ability to create clarity, trust, and accountability across a growing organization ⢠Strong written and verbal communication ⢠Systems thinking and operational discipline ⢠Client orientation and financial rigor ⢠Talent development, change leadership, and technology fluency
⢠Medical, Dental and Vision Benefits ⢠Health Savings and Flexible Spending Account Options ⢠401(k) with Automatic Company Contribution ⢠Employee Assistance Program ⢠Company-paid Life and Disability Insurance ⢠Paid Time Off ⢠Equipment will be provided to you
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