Manager, Strategy & Operations

4+ years of strategic planning or management consulting experience in the healthcare payer or provider space.

3+ years of experience in delivering projects / programs

Executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support

Experience using data and metrics to drive improvements in programs

Experience with Prior Authorization lifecycles, medical benefits management, and the operational nuance of Utilization Management

Lean/Six Sigma Certifications

You will turn departmental goals into functional workflows, ensuring the team maintains high standards of accuracy and efficiency.

You will manage the implementation of new clinical protocols, oversee organizational changes, and resolve technical or regulatory challenges to provide a seamless experience for members and providers.

You will report into the Senior Director, UM Optimization and Strategy.

Lead end-to-end management of cross-functional projects and strategic initiatives, including the creation of project plans, development of executive-level presentations, and performance of ROI analysis to ensure alignment with business goals.

Evaluate departmental performance by gathering and interpreting data to develop metrics, track progress on priorities, and implement mitigation strategies for new needs.

Collaborate with internal and external stakeholders to formulate communication and program strategies, ensuring clarity and visibility for senior leadership while managing the most effective information channels.