Job Overview
The North Carolina State Health Plan (Plan) is seeking a dynamic and strategic Operations Manager specializing in health plan operations to lead complex initiatives in support of the Plan's mission. In this pivotal role, you will not only oversee certain programs, but provide project management for various initiatives. Your leadership will foster a culture of continuous improvement, leveraging agile methodologies and robust program management practices to deliver impactful results that align with organizational goals. This position offers an exciting opportunity to support the Plan's operations on a broad scale while working in a fast-paced, innovative environment committed to excellence.
Responsibilities
- Program Management: Manage a variety of Plan Ops programs that include but is not limited to network operations, health plan enrollment audits, Medicare Advantage Enrollment. The types of projects/programs will evolve and change over time, which is why the candidate must have broad experience in health plan operations.
- Project Management: Provide project management for various Plan initiatives. This includes developing and documenting requirements, tracking deliverables and managing vendor delivery.
- Project Oversight - Manage the overall project plan for all Plan projects and initiatives
- Conduct root cause analysis and leverage Lean Six Sigma principles to identify inefficiencies and implement process improvements using tools like process mapping and business process modeling.
- Oversee project scheduling, risk management, scope control, and budgeting activities using advanced project management software including Microsoft Project, and Smartsheet.
- Coordinate vendor management efforts for IT infrastructure, software solutions such as Salesforce or SharePoint, and other external partners to ensure quality delivery within scope and budget.
- Facilitate meetings effectively to ensure clear communication among stakeholders; prepare technical documentation and reports for executive review
Qualifications
- Proven experience in health plan operations and project leadership within healthcare.
- Strong expertise in project management methodologies including Waterfall, Agile (SAFe), Lean Six Sigma, and Kanban; certification such as PMP or PgMP is preferred.
- Excellent communication skills with the ability to facilitate meetings effectively and produce technical writing for diverse audiences.
- Skilled in data analysis techniques including data collection and root cause analysis; experience with data analytics tools is advantageous.
- Strong organizational skills with a focus on process management and risk mitigation.
- Familiarity with vendor management processes is a plus.
Pay: $85,000.00 - $95,000.00 per year
Benefits:
- Health insurance
- Paid time off
- Retirement plan
Work Location: In person
