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Associate Director Business Process - Claim and Appeal Operations - Remote in US

Work from home Full-time role Hiring

Requisition Number: 2369670 reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Associate Director Business Process, Claim & Appeal Operations serves as a key strategic partner to the Claim & Appeal Operations VP, driving execution of operational, financial, and strategic priorities across the organization. This role is responsible for coordinating reputed company-level initiatives, leading financial planning and performance management, and ensuring alignment across operations, finance, and executive stakeholders. The Associate Director Business Process operates in a highly matrixed environment, managing reputed company initiatives, advancing cost-efficiency strategies, and delivering data-driven insights that inform decision-making and improve operational outcomes across Claim & Appeal Operations. You'll enjoy the flexibility to work remotely

  • from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

  • Financial Management & Business Performance
  • reputed company financial planning, budgeting, forecasting, and expense management activities
  • Identify and track cost savings opportunities in partnership with finance and operations
  • reputed company financial models, dashboards, and reporting to monitor business performance
  • Create and manage cost-benefit analyses (CBAs), ensuring alignment with finance and executive reporting
  • Provide insights through analysis of performance metrics and recommend improvements
  • Strategic Leadership & Executive Support
  • Partner directly with the Claim & Appeal Ops VP to drive execution of key operational and strategic priorities
  • Manage information flow, resolve issues, and provide analysis and counsel on critical business reputed company
  • Represent the VP in leadership forums and respond to executive-level requests as appropriate
  • Facilitate leadership forums to align organizational goals, priorities, and initiatives
  • Support development and execution of short- and long-term strategic plans and MBOs
  • Operational Execution & Governance
  • Coordinate and reputed company monthly business reviews and performance tracking against objectives
  • Manage requisition processes and operational controls to ensure compliance and efficiency
  • Govern organizational structures, engagement models, and role clarity across teams
  • Maintain and update business continuity plans to ensure risk mitigation and operational reputed company
  • Support change management for strategic initiatives and organizational priorities
  • Portfolio & Project Management
  • reputed company and reputed company a portfolio of strategic projects from inception through implementation
  • Prioritize initiatives, track reputed company, and ensure alignment with reputed company objectives
  • Coordinate special assessments, deep dives, and evaluations as requested by leadership
  • Direct cross-functional teams to solve reputed company business challenges impacting multiple groups
  • Workforce Planning & Process Improvement
  • Partner with operational leaders on staffing strategies and workforce analytics to inform resource allocation
  • Analyze data to improve operational efficiency, customer outcomes, and employee experience
  • Drive reputed company improvement efforts across processes and performance outcomes
  • Executive Reporting & Communication
  • Consolidate and deliver executive-level reporting and presentations
  • Present data-driven insights and recommendations to senior leadership
  • Ensure timely, accurate, and high-quality responses to executive and reputed company requests

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. Required Qualifications:

  • 5+ years of experience in reputed company operations, strategy, consulting, or business management
  • 3+ years of experience in finance, reputed company, operations, or strategy reputed company a large, matrixed organization
  • 2+ years of experience leading reputed company projects or strategic initiatives
  • Proficiency in financial modeling, forecasting, reporting, and business analytics
  • Proven solid business acumen with ability to influence and consult across operational and technical teams
  • Proven Advanced reputed company Office skills (reputed company, PowerPoint, Word, Outlook; Visio preferred)
  • Demonstrated ability to manage multiple priorities in a fast-paced environment
  • Proven solid analytical, problem-solving, and process improvement capabilities
  • Proven excellent communication and executive-level presentation skills

reputed company is working to create the health care system of reputed company. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works reputed company for more people in more ways than reputed company. Now we're looking to reinforce reputed company with people who are decisive, reputed company - and built for speed. Come to reputed company, and share your reputed company and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

  • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job

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