Risk Program Delivery Professional

This is a fully remote position, open to applicants in Kentucky, +4 more states.

📋 Description

• Execute Provider Programs and achieve operational performance outcomes.

• Implement, monitor, and continuously enhance program operational processes.

• Assess existing business processes and create sustainable, repeatable, and measurable improvements.

• Supervise the documentation, design, and execution of current and new Provider Programs processes.

• Gather and analyze data to suggest practices and procedures that enhance customer experience, ensure compliance, and boost efficiency.

• Lead and manage business process improvement initiatives, including comprehensive documentation and enhancement of cross-functional end-to-end lifecycles.

• Support, lead, and promote organizational initiatives, retrospective lessons learned, and opportunities for cross-functional collaboration.

• Ensure that process and procedure documentation is standardized and accurate across all programs.

• Develop, review, and approve educational materials and resources for the program.

• Support operational discipline, including the rollout, adoption, and continuous departmental review of enterprise support frameworks.

• Assist with financial management of Provider Programs, encompassing program administration, claims management, and departmental administrative costs.

⛳️ Requirements

• Over 5 years of experience in program delivery, operations, business process improvement, or similar operational roles.

• At least 2 years of experience in analyzing operational data and utilizing findings to recommend improvements in processes, compliance, customer experience, or efficiency.

• A minimum of 2 years of experience in documenting, standardizing, or enhancing business processes across cross-functional teams or programs.

• Proficiency in Microsoft Office tools, including Excel, PowerPoint, Outlook, and Teams.

• Familiarity with departmental finance activities and processes, including budgeting, forecasting, invoicing, reconciliation, and planning.

• A Bachelor’s degree in Business Administration, Health Care Administration, Operations, Finance, or a related field is preferred.

• A Master’s degree is preferred.

• Experience with Lean, Six Sigma, or other process improvement methodologies.

• Experience in supporting financial management activities, including budgeting, expense tracking, claims management, reporting, or program administration.

• Experience in operational program management, business operations, or process execution within a matrixed or cross-functional environment.

• PMP certification or an equivalent project/program management credential is preferred.

• Knowledge of health care, managed care, provider programs, risk adjustment, or clinical documentation workflows.

• Strong analytical abilities, including data interpretation, trend identification, and converting insights into actionable business recommendations.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Other personal wellness and healthcare decision support opportunities.