We are seeking a Policy Enablement Workstream Lead to oversee the implementation of policy enablement initiatives, manage governance processes, and coordinate cross-functional teams to ensure successful policy configuration and operational excellence.
Key Responsibilities
Manage the Policy Enablement implementation plan and transition tracker.
Support ongoing governance and maintenance of the policy configuration inventory.
Coordinate with onshore and offshore Policy Configuration team leads to ensure timely execution of deliverables.
Monitor project progress and identify risks, dependencies, and mitigation plans.
Analyze claims data and trends to identify operational issues and recommend improvements.
Translate complex operational issues into clear, executive-level updates and presentations.
Collaborate across business and operational teams to drive successful policy implementation and continuous improvement.
Required Qualifications
Familiarity with medical policy and client setup workflows.
Strong project management experience with the ability to manage multiple priorities.
Excellent cross-functional collaboration and stakeholder management skills.
Strong analytical skills with experience reviewing claims data and identifying trends.
Ability to communicate effectively with executive leadership and present concise status updates.
Demonstrated executive presence, strong interpersonal skills, and excellent written and verbal communication.
Preferred Skills
Experience working with healthcare operations or health insurance policy configuration.
Knowledge of policy governance and implementation methodologies.
Ability to work effectively with distributed onshore and offshore teams.
Strong problem-solving and organizational skills
Numbers & Facts
Location
Philadelphia, PA
Skills
Analysis Skillsunmatched
Business Operationsunmatched
Communication Skillsunmatched
Continuous Improvementunmatched
Cross-Functionalunmatched
Data Analysisunmatched
Health Insuranceunmatched
Healthcareunmatched
Identify Issuesunmatched
Interpersonal Skillsunmatched
Leadershipunmatched
Multitaskingunmatched
Offshoringunmatched
Organizational Skillsunmatched
Policy Implementationunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Process Managementunmatched
Project Trackingunmatched
Project/Program Managementunmatched
Risk Analysisunmatched
Time Managementunmatched
Trend Analysisunmatched
Writing Skillsunmatched
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