Health Insurance Operations Manager jobs in Raleigh, NC

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

UNC Health Alliance is UNC Health’s statewide clinically integrated network and population health services organization. The mission of this team is to transform healthcare delivery on behalf of more than 7,200 providers by offering patient-centered solutions to populations covered under alternative payment models. Joining this team means you will work closely with providers, practices, payers, business leaders, and community partners to improve the quality and accessibility of care while lowering the cost of care for patients, payers, and businesses. We are a growing team looking for top talent to help us with creative solutions that improve patient care and help make healthcare more affordable. Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
Direct and manage project development from beginning to end and seeing that it is completed successfully within the given deadline and budget. Define project scope, goals, and deliverables that support business goals in collaboration with senior management and stakeholders. Develop full-scale project plans, financial plans, quality audit follow ups, and associated communications documents. In general this person is responsible for the overall direction, coordination, implementation, execution, control and completion of multiple, simultaneous projects ensuring consistency with UNCHCS strategy, commitments and goals.

Responsibilities:
Leadership & Coaching: The individual must possess the ability to coach individuals and teams through various project management methodologies.

• Adaptability: Adapts to changing circumstances and leads by example during times of uncertainty.
• Conflict Resolution: Handles conflicts professionally, finding resolutions that benefit all parties involved.
• Innovation: Encourages creativity and innovation within the team to drive continuous improvement.
• Results-Oriented: Sets and achieves measurable goals, driving the team toward success.
• Collaborative: Collaborates effectively with cross-functional teams and departments to achieve common objectives.
• Continuous Learning: Demonstrates a commitment to personal and professional growth and encourages the same in team members.

Project Management: Ability to control and manage assigned projects within parameters identified. Manages resources, tasks, and balances priorities.

• Leads complex projects to successful completion using PMI or Lean Six Sigma methodology
• Lead programs with a focus on implementation, collaboration, success metrics, and KPIs.
• Able to influence and gain commitment from all members of project team
• Able to identify and manage resources necessary to meet project needs (budget, personnel, and leadership)
• Able to obtain and maintain executive support for project through communication and leadership

Tools, Methodologies, and Technologies (TM&T): It is important to stay current with changing tools, methodologies, and technologies. The individual must understand different TM&T, how to effectively use these, and implement/apply them to solve business problems and provide solutions that enhance our operations, capabilities, and competitiveness

• Identifying business issues that can be solved through application of TM&T
• Working across department boundaries to ensure TM&T solutions are integrated into business processes and consistent with the systems strategic plan and vision
• Able to teach project management or improvement science methodology training
• Assist in developing training materials for project management and other improvement methodologies’ tools
• Ability to investigate question, gather data, integrate, interpret, organize, and report information with the intent to gain understanding of a process including measuring the process/problem and identifying/confirming underlying root cause through analysis.

Problem Solving & Implementation: Knowledge and ability to propose and create solutions based on information provided from process and problem analysis. Capable of converting information into functional implementations that delivers solutions.

• Able to resolve conflicts in assigned areas and work with leadership to resolve across multiple departments.
• Identifies methods for solving problems which eliminate steps, speeds processes, and reduces complexity.
• Makes decisions based on analyses and data
• Challenges leaders and their current processes when improvement is needed
• Develops interventions and initiatives based on data
• Able to resolve conflicts across multiple depts
Strives to implement solutions that span multiple depts/divisions

Other Information

Job Details

Legal Employer: NCHEALTH

Entity: Health Alliance

Organization Unit: HA Central Administration

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $34.65 - $43.31 per hour (Minimum to Midpoint)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.