Lead the Groups Contracts and Bookings teams, driving operational excellence and continuous improvement in group travel support while fostering a high-performance culture.
Director, Member Status - Strategy & Operations
🕒 4 days ago
Operational ManagementRegulatory ComplianceData AnalysisAI Tools
📜 Description
- Own the end-to-end operation for member status determinations, from issue identification to resolution.
- Manage workflows with daily and weekly checks to catch status changes promptly.
- Prioritize improvements based on member impact, financial risk, and compliance risk.
- Ensure operations align with CMS technical guidance and maintain relevant policies.
- Utilize AI tools to enhance workflow efficiency and reduce manual reviews.
- Set and monitor SLAs and KPIs across teams and external partners.
🛠️ Requirements
- Proven operator with experience in scalable business processes.
- Demonstrated ability to build operational controls from the ground up.
- Experience managing cross-functional initiatives across multiple stakeholders.
- Fluency in data analysis and the ability to specify requirements.
- High ethical standards and sound judgment under financial pressure.
- Comfortable in fast-paced, ambiguous environments.
✨ Benefits
- Dental
- Vision plan with low or no premium
- Generous paid time off.
- $100 monthly mobile or internet stipend.
- Stock options for all employees.
- Bonus eligibility for all roles excluding Director and above.
- Commission eligibility for Sales roles.
- Parental leave program.
- 401K program.
Full job description
The Director of Membership Status Operations at Devoted Health will enhance member care by ensuring accurate member status determinations and operational excellence.
Description
- Own the end-to-end operation for member status determinations, from issue identification to resolution.
- Manage workflows with daily and weekly checks to catch status changes promptly.
- Prioritize improvements based on member impact, financial risk, and compliance risk.
- Ensure operations align with CMS technical guidance and maintain relevant policies.
- Utilize AI tools to enhance workflow efficiency and reduce manual reviews.
- Set and monitor SLAs and KPIs across teams and external partners.
Requirements
- Proven operator with experience in scalable business processes.
- Demonstrated ability to build operational controls from the ground up.
- Experience managing cross-functional initiatives across multiple stakeholders.
- Fluency in data analysis and the ability to specify requirements.
- High ethical standards and sound judgment under financial pressure.
- Comfortable in fast-paced, ambiguous environments.
Benefits
- Dental
- Vision plan with low or no premium
- Generous paid time off.
- $100 monthly mobile or internet stipend.
- Stock options for all employees.
- Bonus eligibility for all roles excluding Director and above.
- Commission eligibility for Sales roles.
- Parental leave program.
- 401K program.
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