Manager II Process Excellence

Elevance Health • Atlanta, GA

1d • Hybrid

About The Position

The Manager II Process Excellence is responsible for the overall administration and management of the Operations Department, including planning, providing strategic leadership, coordinating information and establishing departmental operating practices. Responsible for the overall direction and guidance of the Operations Department ensuring the quality and efficient operation of the department How you will make an impact: Oversees department to meet or exceed departmental goals and staying within budget, including productivity metrics, quality and timeliness standards as defined by department guidelines. Develops performance-based metrics to facilitate measurement of staff productivity, to continually increase performance. Develops and document process flows and policies for the department to support company goals and objectives. Ensures processes are in line with contracts and the strategic vision of the organization. Determines root causes of contractual deficiencies, and develops documentation to facilitation remediation. Performs quality assurance functions to ensure monitoring controls are in place and valid. Initiates action plans to resolve issues, and implements procedures in concert with contract requirements and federal and state laws. Serves as primary department liaison for activities in state, federal and organizational audits. Reviews and responds to contract proposals and oversees the implementation of new business Performs project management functions in achieving the timely completion of deliverables. Works collaboratively with inter-departmental work groups on key organizational initiatives and implementations.

Requirements

• Requires BS/BA in Information Systems, Health Care Management, Business and a minimum of 7 years of healthcare experience in a healthcare insurance company including a minimum of 3 years of leadership/management experience.

Nice To Haves

• Six Sigma and program management experience preferred.

Responsibilities

• Oversees department to meet or exceed departmental goals and staying within budget, including productivity metrics, quality and timeliness standards as defined by department guidelines.
• Develops performance-based metrics to facilitate measurement of staff productivity, to continually increase performance.
• Develops and document process flows and policies for the department to support company goals and objectives.
• Ensures processes are in line with contracts and the strategic vision of the organization.
• Determines root causes of contractual deficiencies, and develops documentation to facilitation remediation.
• Performs quality assurance functions to ensure monitoring controls are in place and valid.
• Initiates action plans to resolve issues, and implements procedures in concert with contract requirements and federal and state laws.
• Serves as primary department liaison for activities in state, federal and organizational audits.
• Reviews and responds to contract proposals and oversees the implementation of new business
• Performs project management functions in achieving the timely completion of deliverables.
• Works collaboratively with inter-departmental work groups on key organizational initiatives and implementations.

Benefits

• In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

What This Job Offers

• Job Type: Full-time
• Career Level: Manager