Senior Manager, Health Plan Operations

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

📋 Description

• Take charge of the daily operational health by monitoring turnaround times, addressing backlogs, and ensuring optimal queue management.

• Supervise operational performance while maintaining a feedback loop that balances high productivity with stringent audit accuracy.

• Lead the complete design, testing, and implementation of scalable cross-functional workflows, including change management, training, and post-launch KPI monitoring.

• Collaborate with external vendors and cross-functional partners across Engineering, Network/Provider Operations, Claims, and Integrations to align operational priorities, streamline workflows, and achieve shared business objectives.

• Discover opportunities to minimize manual processes by implementing and managing AI agents in conjunction with human teams.

• Serve as the primary escalation point to tackle obstacles for vendors and internal teams, ensuring they receive the necessary training and job aids for success.

⛳️ Requirements

• Over 6 years of experience in business operations or operational leadership.

• Proven track record of effecting significant change and achieving measurable operational results in fast-paced settings, with a proactive approach and a commitment to continuous improvement.

• Excels in operational execution, escalation management, and problem-solving.

• Comfortable navigating ambiguity, including unanticipated and often complex issues that require ownership from identification to resolution.

• Analytical mindset with the capability to perform qualitative and quantitative analyses that drive impactful results.

• Outstanding communication and cross-functional collaboration abilities, with a talent for influencing others.

• Strong organizational skills, capable of prioritizing and managing multiple initiatives simultaneously.

• High level of professionalism.

• A curious nature and practical experience with AI tools, automation, or LLM-based workflows in operational contexts are highly preferred.

• At least 2 years of experience in a health tech, digital health, or healthcare technology setting (experience with Medicare Advantage health plans and/or startups is a plus).

• Experience in influencing and driving change within a highly matrixed organization.

🏝️ Benefits

• Employer-sponsored health, dental, and vision plans with minimal or no premium costs.

• Generous paid time off policy.

• $100 monthly stipend for mobile or internet expenses.

• Stock options available for all employees.

• Bonus eligibility for all positions, excluding Director and above.

• Parental leave program.

• 401K program.