Provider Operations Mgr

Elevance Health - Seven Hills, OH

Full-time - Mid Level

Seven Hills, OH

Insurance Carriers and Related Activities

About the position

The Provider Operations Manager position at Elevance Health is responsible for guiding the vision, strategy, and execution of a product from conception to implementation for provider experience strategic initiatives. This role will work in a hybrid model, requiring candidates to reside within 50 miles of an Elevance Health PulsePoint location. The position involves developing and guiding the vision, strategy, and execution of a product throughout its lifecycle, coordinating operational readiness plans, and monitoring the impact on Provider Experience Key Performance Indicators.

Responsibilities

• Developing and guiding the vision, strategy and execution of a product throughout its lifecycle.
• Coordinating the request for standardization of operational readiness plans for provider initiatives and mentoring team members.
• Coordinating the request for development and delivery of required training to support the needs of the project team and operational/production users.
• Coordinating the request for development and delivery of job aids for production operational users.
• Monitoring overall impact to Provider Experience Key Performance Indicators to identify and facilitate changes and alignment with business goals, objectives, and KPIs.
• Leading and defining standards for provider experience business applications.
• Identifying, leading and/or participating in targeted continuous improvement activities to understand process opportunities with business needs, pain points, and ensuring the product delivers value.

Requirements

• Requires a BA/BS degree in Business or related field.
• Minimum of 5 years within a healthcare organization supporting operations, provider or claims.
• Experience with delivery of business systems and/or process improvement.
• Minimum of 5 years of provider experience business disciplines within provider experience (provider call center, pricing, provider demographics).

Nice-to-haves

• Collaboration and communication skills at all levels (written/verbal) with key partners and leaders.
• Provider contracting experience and/or process understanding.
• Experience with Microsoft tools such as Excel, PowerPoint, Visio.
• Ability to create and maintain a product roadmap, prioritizing features, business impact with use of Agile methodology and tools.
• Ability to define product features and user stories, crafting specifications that are detailed and clearly articulate design and functionality requirements.
• Identify risks and issues that may impact timeliness and quality.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical, dental, vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources