
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 $165k - $179k / year
⏰ Full Time
đźź Senior
đź‘” Manager
🦅 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 and develop a centralized Resource Planning function serving Contact Center and Back Office operations • Define the vision, standards and operating model for forecasting and capacity planning • Build and mentor a team of resource planning analysts • Advise senior operational, Finance and HR leaders on workforce demand, staffing risk and planning assumptions • Own the accuracy and integrity of volume, workload and staffing forecasts • Maintain and refine forecasting models based on business drivers, productivity assumptions, regulatory requirements and operational realities • Oversee short-range and long-range staffing requirement outputs • Align Resource Planning outputs with WFM scheduling teams • Partner with Finance on headcount plans and budget cycles • Collaborate with HR and Talent Acquisition on hiring timelines • Engage Contact Center and Back Office leaders on planning assumptions and capacity risks • Establish capacity outlook reporting for senior leadership • Improve forecast accuracy, reduce variance and strengthen planning maturity • Lead post-mortem reviews of significant forecast variances • Evaluate and implement workforce planning tools and technologies • Ensure back-office capacity plans reflect regulatory turnaround requirements • Maintain documentation of planning methodologies, assumptions and model logic • Define and monitor Resource Planning performance indicators
• 7 or more years of progressive experience in workforce planning, forecasting or capacity planning, including experience spanning both contact center and back office / operations environments • 3 or more years of experience building and leading a team of analysts or planners • Demonstrated ability to build a planning discipline and operating model from the ground up, including standards, governance and model methodology • Strong track record partnering with Finance and HR on headcount planning, budget cycles and hiring timelines • Executive-level communication skills; comfort presenting capacity risk and planning confidence to senior leadership • Working knowledge of regulatory turnaround requirements relevant to health plan operations, such as CMS UM determination timelines • Candidates may be required to go through a pre-employment criminal background check
• Remote or hybrid work environment • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity employer and workforce diversity commitment
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