Lead, Operations Excellence (Remote)
22 days ago
Birmingham
Job DescriptionAs 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. Candidates should be comfortable working remotely/work from home anywhere within the US. Primary Duties:Process Transformation • 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 processesData Analysis, • 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 stakeholdersLeadership & Collaboration, • 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 issuesRoster Curation & Administration, • 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 assignedMinimum Qualifications:, • 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 supportPreferred Qualifications:, • 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)Physical Requirements: