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As Aledade's Lead of Operations Excellence, you'll spearhead transformative process improvement initiatives that directly impact our payer operations landscape, identifying breakthrough opportunities to streamline workflows, eliminate inefficiencies, and elevate performance standards across multiple operational functions. In this strategic role, you'll leverage data-driven insights and innovative methodologies to architect solutions that enhance productivity, reduce costs, and deliver measurable results, while collaborating with cross-functional teams to implement sustainable changes that position our organization for continued growth and operational excellence.
Job Responsibility:
Lead end-to-end transformation initiatives for payer operations, with a primary focus on practice rostering, provider enrollment, and network management processes
Design, implement, and monitor process improvements that enhance operational efficiency, reduce manual interventions, and ensure maximum roster accuracy
Collaborate with cross-functional teams to identify process gaps and implement sustainable solutions
Establish performance metrics and KPIs to measure transformation success and ongoing process reliability
Implement quality assurance protocols to minimize rostering errors and compliance risks
Streamline provider data management workflows and establish automated validation processes
Utilize data analysis techniques to identify trends, patterns, and opportunities for process enhancement
Perform complex data manipulation and analysis using spreadsheet applications and other analytical tools
Create comprehensive reports and dashboards to track operational performance and transformation progress
Present data-driven recommendations to senior leadership and stakeholders
Lead project teams and mentor staff on process improvement methodologies
Facilitate training sessions on new processes
Serve as subject matter expert for rostering operations
Partner with Product and Technology teams to identify and implement technology solutions that support process optimization
Provide escalation support and guidance for complex operational issues
Perform hands-on roster maintenance and data curation activities, especially during peak periods, system implementations, or staff shortages
Execute complex roster updates, bulk data modifications, and exception handling as needed
Conduct detailed roster audits and data validation exercises to ensure accuracy and compliance
Project-manage roster issues from identification to resolution, minimizing operational disruption.
Maintain expert-level proficiency in roster management systems and processes through direct operational involvement
Other duties as assigned
Requirements:
Bachelor's degree in Business Administration, Operations Management, Healthcare Administration, Public Health, or related field
Six Sigma certification or must complete within the first 6 months of employment
5+ yrs experience in payer operations, healthcare operations, or similar operational roles
3+ yrs experience leading process improvement or transformation initiatives
Hands-on experience with data management systems and processes (i.e. provider rosters), including data entry, validation, and maintenance activities
Demonstrated expertise in process mapping, workflow optimization, and change management
Advanced proficiency in Google Sheets (or Microsoft Excel), including complex formulas, pivot tables, and data visualization
Excellent communication skills
Demonstrated ability to influence decision makers.
Strong analytical and problem-solving skills
Ability to balance strategic work with operational support
Nice to have:
Master's degree
PMP Certification
Experience with project management and workflow management systems (Monday.com, Jira, Miro, etc.)
Healthcare insurance or managed care background
Proficiency in additional data analysis tools (SQL, Tableau, Power BI, etc.)
2+ years experience with systems and resources utilized in roster management activities (e.g., CAQH, payer portals, NPPES)
Knowledge of healthcare regulations and compliance requirements (CAQH, CMS, state regulations)
What we offer:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
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