Strategic Operations Lead

McLaren Health Care • Flint, MI

13h

About The Position

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Strategic Operations Lead, to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
Position Summary:
The Strategic Operations Lead serves in an individual-contributor role that partners directly with the Director of Health Services Operations to advance strategy, performance, and regulatory readiness across Utilization Management (UM), Care Management (CM), and related Medical Management programs. This role drives strategic initiatives, operational excellence, regulatory readiness, business performance, and cross-functional execution to support organizational goals and regulatory requirements. This role influences departmental performance without direct supervisory responsibility. The role leads enterprise initiatives and ensures execution of department priorities through data-driven decision making, project leadership, and continuous process improvement.
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Requirements

• Bachelor's degree in healthcare administration, business administration, nursing, public health, or a related field.
• Five (5) years’ progressive experience in managed care, health plan operations, utilization management, care management, quality, compliance, or strategic operations.
• Three (3) years of progressive responsibility in leading cross-functional or enterprise operational initiatives without formal authority over the teams involved.

Nice To Haves

• Master’s degree in healthcare administration, business administration, nursing, public health or a related field.
• PMP, Lean Six Sigma, Agile, or equivalent certification.
• Two (2) years’ experience in Medicaid, Medicare Advantage, Commercial, or Dual-Eligible health plans
• Two (2) years’ experience with CMS, NCQA, and state regulatory requirements
• Two (2) years’ experience with population health, UM, or CM platforms.
• Two (2) years’ experience with Power BI, Tableau, SQL, or other healthcare analytics tools

Responsibilities

• Advance strategy, performance, and regulatory readiness across Utilization Management (UM), Care Management (CM), and related Medical Management programs.
• Drive strategic initiatives, operational excellence, regulatory readiness, business performance, and cross-functional execution to support organizational goals and regulatory requirements.
• Influence departmental performance without direct supervisory responsibility.
• Lead enterprise initiatives and ensure execution of department priorities through data-driven decision making, project leadership, and continuous process improvement.

What This Job Offers

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