Job Summary
A business strategy and consulting services firm is seeking a Remote Payer Operations Director.
Individual must be able to fulfill the following responsibilities:
- Identify market gaps and help lead where there are opportunities to create value propositions
- Arrange and sponsor appropriate assignments and experiences
- Build road maps, pillars and processes for the payer that empower people and technology together to maximize value
Qualifications for this position include:
- 10+ Yrs. Of Consulting like skills
- Demonstrates considerable knowledge of, and/or success in Payer operations roles
- Clear demonstration of developing/improving frameworks and operations best practice
- Payer Domain expertise (10+ Yrs.) Data & Analytics, Automation, Artificial Intelligence, Health Advocacy, Medical Trend Analysis, Cost Benchmarking.
- Payer operations strategy (10+ Yrs.) Sales, Marketing, Benefits/Products, Clinical Management, and Core Operations for Commercial Payer and Health Plans
- Demonstrated ability to structure and manage larger, complex projects profitably ($2M+)
