Product Operations Specialist

This is a fully remote position, open to applicants in Florida.

📋 Description

• Assist in the execution and ongoing operational management of designated products or service areas.

• Foster and maintain communication and relationships with both internal and external stakeholders.

• Recognize opportunities for integrated process enhancements and escalate issues as needed.

• Contribute to product success and enhance operational efficiency.

• Develop and sustain reporting tools to assess and identify process improvement opportunities.

• Act as the subject matter expert for the designated product or service area.

• Oversee assigned operational elements of the product/service.

• Evaluate operational performance and escalations by monitoring, analyzing, and researching performance expectations.

• Ensure compliance with contractual obligations by monitoring internal/external relationships.

• Build relationships with key partners and stakeholders to facilitate operational improvements.

• Detect trends and perform root cause analysis to address complex escalations.

• Generate reports and assist in business review presentations for senior leadership, vendors, and government entities.

• Engage in departmental and product strategic planning.

• Manage projects, including implementations for assigned functions.

• Collaborate with internal and external partners to achieve business objectives and initiatives.

• Ensure that member and stakeholder communications include appropriate information, talking points, and FAQs, and are executed effectively.

• Carry out other duties as assigned.

⛳️ Requirements

• Must be authorized to work in the U.S. without requiring employment-based visa sponsorship now or in the future.

• Proficiency in Excel, Power BI, and Co-Pilot is preferred.

• Experience with LTC and Medicaid is preferred.

• Bachelor’s degree in business administration or a related field, or equivalent work experience.

• A minimum of 2 years of experience leading or supporting projects in Benefits, Product Management, Marketing and Sales, Strategic Planning, and/or Project Management.

• At least 2 years of experience in data analysis and process improvement in Benefits, Healthcare, Regulatory/Government Affairs, vendor management, or oversight, preferably with healthcare vendors.

• Alternatively, 2+ years of customer service experience in a healthcare contact center or customer service setting dealing with claims, grievances, pharmacy, and appeals authorizations in Medicare, Medicaid, PDP, Exchange, etc.

• Must adhere to all policies and standards.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements with remote, hybrid, field, or office work schedules.

• Additional incentives may be included in total compensation.

• Equal opportunity employer committed to diversity.