Senior Director, Enterprise Performance, Operations

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $137.1k - $195.8k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Set and execute the enterprise performance strategy for claims operations • Establish an enterprise performance management framework with governance, standardized definitions, targets, scorecards, and accountability mechanisms • Develop and oversee a Medicaid fee-for-service claims performance dashboard • Create reporting and operating cadences for enterprise claims teams and senior leadership • Standardize KPIs and measurement methodologies across claims teams • Evaluate operational efficiency across people, processes, and technology • Translate data and performance insights into best-practice recommendations and improvement roadmaps • Lead continuous improvement initiatives addressing systemic performance gaps and strengthening controls • Establish performance targets, monitor progress, and drive accountability for corrective and preventive actions • Collaborate with analytics, product, engineering, and IT teams to improve data quality, automation, reporting, and operational technology • Advise state sector leaders, account general managers, and executive leadership on claims performance, risks, and improvement opportunities • Incorporate client needs and voice-of-customer insights into performance priorities and operational solutions • Assess industry trends, regulatory developments, and market practices • Support proposals, client discussions, and strategic initiatives • Build and lead a high-performing enterprise performance team

🎯 Requirements

• Bachelor’s degree in business, healthcare administration, operations, analytics, information systems, or a related field; advanced degree preferred • 15+ years of progressive experience in healthcare operations, claims administration, performance management, operational analytics, or a related discipline • 10+ years leading operational teams, enterprise programs, or matrixed organizations • Experience establishing enterprise performance strategies, governance models, standardized KPIs, and executive reporting • Strong knowledge of Medicaid fee-for-service claims operations, claims lifecycle performance, and healthcare administrative processes • Ability to use data and analytics to identify root causes, guide decisions, and deliver measurable improvements in accuracy, productivity, service, and cost • Experience leading complex initiatives spanning people, process, data, and technology • Experience designing dashboards, scorecards, reporting cadences, and operational review processes for executive and operational audiences • Experience managing departmental budgets, business cases, and cost optimization initiatives • Strong executive presence and communication skills, with the ability to influence clients, operational leaders, and C-suite executives • Strategic, innovative, and collaborative leadership style with demonstrated success building teams and leading through growth and change

🏖️ Benefits

• Work flexibility • Learning and career development • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Approximately 25% travel to support key client meetings