Senior Operations Leader Health Care - Payer

DXC Technology Yuma , AZ 85367

Posted 2 weeks ago

Job Description:

As a subject matter expert, provides advice and counsel on business solutions focussed on HealthEdge/HealthRules Adoption, implementation, and ongoing maintenance. Participates in account strategy sessions, strategic assessments, customer innovation workshops and design associated work products around legacy migration and HealthEdge/HealthRules adoption

Job Description:

Analyzes current landscape with focus on End-to-End Payer value chain, designs and implements complex operational process improvement needs, assists in designing legacy migration strategy for leading Health Plans, define and lead execution for HealthEdge Migration/adoption.

Essential Job Functions

  • Analyzes, plans, and implements complex operational process improvement needs. Supports long-term planning sessions with multiple HealthPlan (Payer) customers to improve business processes, generally involving use and improvement of information systems and goals.

  • Evaluates and models existing processes. Identifies improvement options and designs and implements processes to ensure that client and company needs are met in a timely manner.

  • Provides consultation on the use of complex re-engineering techniques to improve process performance and product quality. Deploys plans from conception through closing. Organizes, leads, and facilitates cross-functional projects. Assists in defining strategic direction working with business development, product development and product management teams.

  • Develops complex metrics that provide data for process management and indicators for future improvement opportunities. Collects data to identify root cause problems. Researches, recommends, and approves processes to aid in the translation of business objectives into functional requirements and solution design.

  • Measures performance against process requirements, aligning improvement projects to close performance shortfalls. Identifies and manages resources, including cross-functional members, to successfully execute projects.

  • Serves as an information solution liaison across internal and external (customer)organizations for process improvement, business processes and systems integration. Works in conjunction with business strategies program leaders to provide desired re-engineering practices and to ensure alignment of re-engineering initiatives to business objectives.

  • Delivers presentations and training courses including measurement, analysis, improvement and Supports pilot projects and internal case studies for trial usage improvement methods or approaches. Communicates team progress to all levels in the organization.

  • Works with management to align projects to strategy. Assesses the degree of risk impact, timeframe, and cost of re-engineering required to achieve the desired future state.

  • Acts as re-engineering consultant to other transformation teams in methods, techniques, and tools to ensure adherence to company guidelines.

Qualifications

  • Bachelor's degree or equivalent combination of education and experience.

  • Bachelor's degree in business administration, management, or related field preferred.

  • 10+ years of organizational change consulting experience.

  • Experience working with business re-engineering processes and the technology industry.

  • Experience working with business processing models, Process Design, Requirements Management, and Project Management.

  • Experience of leading Health Edge Implementations.

  • Experience of leading HealthEdge Ongoing upgrades.

  • Experience working with re-engineering tools, methods, and techniques.

Required knowledge and experience

  • Experience in Health Edge/ Health Rules Payer Implementations.

  • Experience of leading Health Edge/ Health Rules Ongoing upgrades

  • Nice to have Health Edge Trained/ certification.

  • Deep domain knowledge of HealthPlan operations including but not limited to Claims, Enrollment, Provider relations, Contracts, Benefit designs, Appeals/Grievances, Pharmacy management etc.

  • Improved time-to-market.

  • Experience of leading teams responsible for Reporting and EDI development.

  • Rapid new product implementation Deeper integration of key providers.

If you are an applicant from the United States, Guam, or Puerto Rico

DXC Technology is an Equal Opportunity/Affirmative Action employer. All qualified candidates will receive consideration for employment without regard to disability, protected veteran status, race, color, religious creed, national origin, citizenship, marital status, sex, sexual orientation/gender identity, age or genetic information. DXC's commitment to diversity and inclusive selection practices includes ensuring qualified long-term unemployed job seekers receive equal consideration for employment. View postings below.

We participate in E-Verify. In addition to the posters already identified, DXC provides access to prospective employees for the Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters. To access the postings in the link below, select your state to view all applicable federal, state and locality postings. Postings are available in English, and in Spanish, where required. View postings below.

Postings link

Disability Accommodations

If you are an individual with a disability, a disabled veteran, or a wounded warrior and you are unable or limited in your ability to access or use this site as a result of your disability, you may request a reasonable accommodation by contacting us via email.

Please note: DXC will respond only to requests for accommodations due to a disability.

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Senior Operations Leader Health Care - Payer

DXC Technology