Senior Manager, Service Delivery

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

📋 Description

• Oversee the service delivery and operational execution for teams focused on Medicaid Claims, Business Policy Administration, and Reference Data Maintenance.

• Supervise multiple clients and domain leads accountable for Medicaid claims, business policy administration, reference data maintenance, provider setup, and adjudication logic.

• Propel standardization and enhancements in processes throughout design, build, testing, deployment, and operational support.

• Create and manage demand forecasts in collaboration with account and product teams.

• Align capacity with client priorities while identifying risks associated with workload, capacity, and delivery timelines.

• Foster relationships between delivery teams, product engineering, and client stakeholders.

• Address escalations and ensure prompt resolution of issues.

• Promote ongoing service improvements aimed at claims accuracy, quality of policy administration, integrity of reference data, defect reduction, and turnaround times.

• Ensure that delivery outcomes align with client expectations regarding quality, compliance, and timeliness.

• Recruit and hire team members with the necessary domain expertise.

• Mentor and develop team members.

• Tackle performance challenges and instill accountability for outcomes.

⛳️ Requirements

• A minimum of twelve years of experience in healthcare technology, Medicaid claims, business policy administration, reference data maintenance, or similar delivery positions.

• At least eight years of leadership or supervisory experience.

• Experience in healthcare payer systems, particularly within Medicaid or Medicare environments.

• Familiarity with MMIS systems or equivalent healthcare claims systems.

• Excellent stakeholder and client relationship management abilities.

• Video cameras are required to be turned on during all interviews and throughout the initial week of orientation.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for learning and career advancement.

• Access to technical credentials and certifications.

• Generous and adaptable vacation policy.

• Educational support.

• Comprehensive leadership and technical development programs.

• 401(k) employer matching.

• Extensive health benefits.

• Occasional travel opportunities (0–10%).