Become a part of our caring community and help us put health first The Strategy Advancement Advisor plays a crucial leadership role that provides data-driven strategic guidance to deliver a consistent and best-in-class Clinical function. The Strategy Advancement Advisor also enhances operational stability and effectiveness for market-based processes that support authorization business levers. This role calls for a dynamic leader capable of tackling various business challenges, building relationships in a highly collaborative environment, influencing through communication, and leveraging data to advise senior and executive leaders. This role requires strong leadership, analytical skills, and the ability to collaborate effectively with various stakeholders to drive strategic advancements in the Clinical - Utilization Management operating model. The Advisor must exercise independent judgment and decision-making on complex issues regarding roles/responsibilities, KPIs, staffing levels, and other related tasks while working under minimal supervision. Responsibilities Manage the operating model elements of the Clinical - Utilization Management (UM) domain Serve as the primary point of contact (POC) to discuss, troubleshoot, or develop new capabilities or responsibilities over time to align with evolving business priorities, processes, and provider landscape Continuously optimize the existing operating model by leveraging performance and productivity data and front-line associate feedback Optimize the operating model by identifying and scaling best practices while eliminating unnecessary requirements or processes Manage test and learn (T&L) programming that serves to pilot deviations to the standard operating model with an ultimate goal of scaling those initiatives that increase performance and/or efficiency. Management of the T&L program includes: Facilitating ideation sessions Managing approvals and ROI analysis Driving decisions to scale successful ideas/pilots, and Supporting change management to successfully integrate/scale successful ideas/pilots Maintain the staffing model and roles/responsibilities Own the development, maintenance, enhancement, and continuous improvement of the UM staffing model Lead operating model design, including defining role responsibilities for Clinical associates Serve as the primary point of contact for discussions, troubleshooting, and development of new responsibilities to align with shifting business priorities Develop, maintain, and monitor KPIs Work with enterprise partners to define business and operational performance KPIs/metrics aligned with clinical strategic outcomes Collaborate with enterprise partners to develop KPIs and activities to measure operating model performance, adherence, and productivity Partner with owners of enterprise dashboards and reports to monitor performance and measure adherence to KPIs Develop executive reports that communicate the UM operating model productivity and effectiveness Leadership of Special Project Teams Lead and manage 15 special project teams focused on various productivity initiatives. Ensure each team has clear objectives, milestones, and deliverables. Provide strategic direction, guidance, and support to project teams. Foster a collaborative and high-performance team culture. Project Management and Execution Monitor and evaluate the progress of special project teams, ensuring timely and successful completion of projects. Identify and mitigate risks associated with project implementation. Ensure efficient resource allocation and utilization across projects. Utilize project management tools and methodologies to track progress and outcomes. Use your skills to make an impact Required Qualifications 3+ years of leadership skills and proven ability to lead through influence 3+ years of technical experience with expertise in data analytics and reporting Effective communicator with the ability to appropriately guide senior leadership Ability to use data to validate performance and provide leadership insights Ability to build consensus and alignment with programs Preferred Qualifications Bachelor’s degree highly preferred Additional Information As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. WAH / Internet Guidance: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in
Location: United States
Posted: Sept. 18, 2024, 10:06 a.m.
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