HealthEdge
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
Manager II – Performance Integrity Office
🕒 June 29
🇺🇸 United States – Remote
💵 $144k - $155k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
🦅 H1B Visa Sponsor
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HealthEdge
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
📋 Description
• Lead and manage a team in delivering operational excellence • Ensure adherence to quality standards and compliance metrics • Drive continuous process improvement and manage corrective actions • Collaborate with clients and stakeholders for service enhancement • Conduct capacity planning and maintain operational continuity
🎯 Requirements
• 5+ years of experience in performance management or operational Excellence • Strong analytical and problem-solving skills • Familiarity with quality standards and compliance regulations • Excellent leadership and team management abilities • Experience in process improvement methodologies (e.g. Six Sigma, Lean) • Strong communication and interpersonal skills.
🏖️ Benefits
• Competitive salary • Health insurance • Professional development opportunities
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