Senior Director, Enterprise Performance, Operations

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

📋 Description

• Formulate and implement the enterprise performance strategy for claims operations.

• Create an enterprise performance management framework that includes governance, standardized definitions, targets, scorecards, and accountability mechanisms.

• Design and manage a Medicaid fee-for-service claims performance dashboard.

• Develop reporting and operational rhythms for enterprise claims teams and senior leadership.

• Standardize key performance indicators (KPIs) and measurement methodologies across claims teams.

• Assess operational efficiency concerning personnel, processes, and technology.

• Convert data and performance insights into best-practice recommendations and improvement roadmaps.

• Spearhead continuous improvement initiatives to address systemic performance gaps and enhance controls.

• Set performance targets, track progress, and ensure accountability for corrective and preventive measures.

• Partner with analytics, product, engineering, and IT teams to enhance data quality, automation, reporting, and operational technology.

• Provide guidance to state sector leaders, account general managers, and executive leadership regarding claims performance, risks, and opportunities for enhancement.

• Integrate client needs and voice-of-customer insights into performance priorities and operational strategies.

• Analyze industry trends, regulatory changes, and market practices.

• Assist in proposals, client discussions, and strategic initiatives.

• Build and manage a high-performing enterprise performance team.

⛳️ Requirements

• Bachelor’s degree in business, healthcare administration, operations, analytics, information systems, or a related field; advanced degree is preferred.

• Over 15 years of progressive experience in healthcare operations, claims administration, performance management, operational analytics, or a related field.

• More than 10 years of experience in leading operational teams, enterprise programs, or matrixed organizations.

• Proven experience in establishing enterprise performance strategies, governance models, standardized KPIs, and executive reporting.

• Extensive knowledge of Medicaid fee-for-service claims operations, claims lifecycle performance, and healthcare administrative processes.

• Proficient in utilizing data and analytics to identify root causes, inform decisions, and achieve measurable enhancements in accuracy, productivity, service, and cost.

• Experience in leading intricate initiatives that encompass personnel, processes, data, and technology.

• Skilled in designing dashboards, scorecards, reporting cadences, and operational review processes for both executive and operational audiences.

• Experience in managing departmental budgets, business cases, and cost optimization initiatives.

• Strong executive presence and communication skills, with the capability to influence clients, operational leaders, and C-suite executives.

• Strategic, innovative, and collaborative leadership style, with a proven track record in team building and leading through periods of growth and change.

🏝️ Benefits

• Work flexibility.

• Learning and career development opportunities.

• Flexible vacation policy.

• 401(k) employer match.

• Comprehensive health benefits.

• Educational assistance.

• Leadership and technical development academies.

• Approximately 25% travel to support key client meetings.