Manager, Market Advocacy - Remote
About The Position
The Manager, Market Advocacy serves as a Market Operations Liaison (MOL), acting as the strategic link between market leadership, external providers, and enterprise shared services to drive operational excellence, resolve complex issues, and improve provider and customer experiences. This senior individual contributor leads cross-functional efforts to identify risks, manage escalations, influence enterprise partners, and implement solutions that support market priorities and business outcomes. The role requires a strong understanding of claims processing, eligibility, provider operations, and shared service functions to effectively identify operational risks, influence resolution strategies, and advocate for market needs. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Requirements
- 5+ years of experience in healthcare, payer, provider, claims, market operations, or a related field
- Experience leading complex cross-functional work and influencing outcomes in a matrixed organization without direct authority
- Demonstrated knowledge of claims processing workflows, issue resolution, and impacts to provider and member experience
- Solid analytical, relationship management, communication, presentation, and problem-solving skills
Nice To Haves
- Experience engaging with external provider organizations and leadership audiences
Responsibilities
- Serve as the primary MOL and advocate for market and provider operational needs across enterprise partners
- Lead complex operational issues through identification, escalation, root cause analysis, resolution, and stabilization
- Apply claims processing knowledge to identify trends, assess provider and member impacts, and partner with shared services on timely, sustainable solutions
- Facilitate governance forums, operational reviews, and performance discussions to drive accountability and transparency
- Analyze operational data, identify risks and service gaps, and recommend solutions that improve performance and stakeholder satisfaction
- Build trusted relationships with market leaders, external providers, provider groups, and cross-functional partners
- Meet with external providers and provider groups, as needed, to address operational concerns, provide education, gather feedback, and support resolution of escalated issues
- Lead or support strategic initiatives, process improvements, and implementations affecting market operations
- Prepare concise executive communications, recommendations, and decision-support materials for leadership
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
