Director, Business Operations Support Enablement

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $189k - $205k / year

⏰ Full Time

🔴 Lead

⚙️ Business Operations

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

Healthcare Insurance • SaaS • Fintech

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 end-to-end ownership and execution of process and technology improvement initiatives across Claims Adjudication BPaaS customers. • Own operational excellence delivery across a portfolio of BPaaS client accounts, balancing performance, risk, and value realization at scale. • Manage complex program planning and delivery, including timelines, resource allocation, risk management, and executive stakeholder communication. • Conduct operational assessments and partner with functional leaders to identify inefficiencies, scalability constraints, and improvement opportunities. • Develop clear requirements focused on desired business outcomes for customer requested changes and other strategic initiatives. • Perform root cause analysis and develop actionable recommendations for process optimization and measurable performance improvement. • Document work instructions and plan training programs to support Operations enablement and change management. • Develop and maintain program dashboards to track KPIs, cost savings, efficiency gains, and transformation outcomes for tracking. • Coordinate cross-functional teams to implement process improvements, automation, and workflow optimization at scale. • Ensure standardization and scalable adoption of processes and best practices across customer accounts. • Collaborate with technology teams to support and enable automation initiatives (RPA, AI/ML). • Lead change management efforts to ensure adoption, sustainability, and long-term value realization of improvements. • Facilitate governance processes, including executive review cadences and escalation protocols. • Communicate program progress, risks, and outcomes to executive stakeholders and client leadership. • Mentor and develop team members, building future operational leaders within the operational excellence function.

🎯 Requirements

• 8+ years of experience in operational excellence, process improvement, or direct operational management within complex, multi-client, and/or enterprise service environments. • 3+ years of leadership experience managing complex, cross-functional programs or initiatives with executive-level visibility. • Deep expertise in BPaaS operations, particularly within regulated healthcare environments including enrollment, claims processing, and contact center operations. • Proven ability to deliver measurable and sustained improvements in cost, quality, efficiency, and operational performance at scale. • Excellent program management, analytical, and executive stakeholder engagement skills. • Bachelor’s degree or equivalent combination of education and demonstrated professional experience required; Lean Six Sigma and project management training, or demonstrated hands-on leadership of large-scale process improvement programs, strongly preferred.

🏖️ Benefits

• HealthEdge is an equal opportunity employer • Workforce diversity commitment • Candidates may be required to go through a pre-employment criminal background check.