
1001 - 5000 employees
Founded 2005
🏥 Healthcare
đź’Ľ 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.
🔥 13 hours ago
🇺🇸 United States – Remote
đź’µ $215k - $233k / year
⏰ Full Time
đź”´ Lead
đź‘” Director
🦅 H1B Visa Sponsor
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1001 - 5000 employees
Founded 2005
🏥 Healthcare
đź’Ľ 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.
• Lead Enterprise Reporting Transformation initiatives and define the roadmap for a unified enterprise reporting framework • Translate strategic objectives into clear, actionable plans • Engage cross-functional stakeholders to deliver plans and business impact • Shape strategic plans and objectives for the enterprise reporting function and make final decisions on implementation approach and prioritization • Serve as product owner for the enterprise dashboard, customer commitment and health reporting, and big whale customer scorecards • Own the end-to-end design and development of enterprise reporting with technology and product resources • Own development of the data lake and enterprise reporting infrastructure • Establish and own reporting on the status, progress, and impact of enterprise transformation initiatives • Develop standardized leadership views of milestones, risks, dependencies, and outcomes • Partner with operations, product, technology, sales, advisory, and customer success teams • Build alignment on reporting priorities, definitions, and success metrics • Coordinate across functions and reconcile stakeholder views • Interact with senior management, executives, and key stakeholders; raise critical updates and risks • Establish prioritization and governance mechanisms and enforce a single source of truth for metrics • Lead end-to-end execution, manage interdependencies and risks, and ensure timely, scalable, reliable delivery • Drive standardization, simplification, communication, adoption, and behavioral change • Direct the enterprise reporting function, including matrixed and cross-functional teams • Own resourcing decisions for the function
• 8+ years of experience in program management, transformation, or operational leadership roles • Proven track record of leading complex, cross-functional initiatives in matrixed organizations • Strong experience working across business, product, and technology teams • Demonstrated ability to influence senior stakeholders and drive alignment without direct authority • Experience in environments with competing priorities and high levels of ambiguity • Experience operating at a director level or equivalent scope, participating in senior leadership strategic planning and making final decisions on complex, loosely defined problems with critical, long-term impact on the business • Exceptional program and project management capabilities • Stakeholder management and executive communication • Ability to translate strategy into execution • Strong prioritization and decision-making skills • Change management and organizational influence • Analytical thinking to define KPIs linked to strategic priorities • Data literacy and comfort partnering with BI and analytics teams on dashboard design, KPI definition, and reporting standards • Demonstrated experience establishing and managing executive-level reporting for large-scale initiatives is a strong plus • Familiarity with healthcare payer, health plan, or health IT environments is a plus • Experience owning or co-owning data platforms, data lakes, or enterprise data infrastructure is a plus but not required • Candidates may be required to go through a pre-employment criminal background check
• Remote work environment • Hybrid or remote work environment • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity and workforce diversity commitment
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