Strategic Business Operations Specialist
7 days ago
Evolent Health partners with health plans and providers to achieve better outcomes for individuals with complex and costly health conditions. We work across specialties and primary care to connect the pieces of the fragmented healthcare system, ensuring people receive the same level of care and compassion as we would for our loved ones.
We believe that people do their best work when supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's why diversity and inclusion are core to our business.
Job SummaryThis role spearheads requirements management for implementation projects across our client and Evolent organizations, driving our value-based strategy with partners and contributing to dynamic initiatives that propel the growth of our department and team.
Key Responsibilities- Clearly define requirements, process flows, use cases, and acceptance criteria for CMS and Commercial programs.
- Facilitate communication between business/IT teams, developers, and external stakeholders.
- Identify, document, and analyze discrepancies and anomalies within automated data reconciliation and disputed data.
- Document business and system requirements standards when new system enhancements or engineering changes are required, maintaining standard templates and supporting ongoing maintenance.
- Develop a deep understanding of end-user outputs, platform development & configuration, multisystem functional requirements, business rules, and leverage that knowledge to improve processes, recommend solutions, enhance team performance, and drive progression of client objectives.
- Prioritize mitigation efforts for action items, risks, and issues.
- Analyze and address process and software gaps.
- Bachelor's degree or equivalent experience.
- Able to own and write the Business Requirement Document (BRD) independently for any given domain function with minimal assistance.
- 5-8+ years of IT and/or business experience in an HMO/PPO Claims, Medicaid, Medicare, and/or managed care healthcare environment.
- Knowledge of the Affordable Care Act, HMO, and managed care principles including Medicaid and Medicare regulation.
- Extensive experience with the System Design Life Cycle (SDLC).
- Experience with EDI X12 structure and syntax rules; chiefly with 834 files.
- Superior root cause analysis skills, including corrective action planning and ability to provide documentation to support analysis.
The expected base salary range for this position is $100,000 - $125,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent Health offers comprehensive benefits (including health insurance benefits) to qualifying employees.
-
Strategic Business Operations Manager
7 days ago
Denver, Colorado, United States Beacon Hill Full timeWe are seeking a highly skilled Strategic Business Operations Manager to join our team at Beacon Hill, a leading provider of search, career placement, and flexible staffing services. As a key member of our executive team, you will be responsible for overseeing the management of our business operations and supervising employees across various departments....
-
Strategic Business Growth Specialist
6 days ago
Denver, Colorado, United States LHR Américas Full timeOverview">LHR Américas is a leading recruitment agency that connects talented professionals with exciting opportunities in the global energy industry. We are currently seeking an experienced Strategic Business Growth Specialist to join our team.">Salary and Benefits">The successful candidate can expect a competitive salary of $150,000 per annum, plus...
-
Strategic HR Business Partner for Operations
7 days ago
Denver, Colorado, United States Panda Restaurant Group Full timeJob Summary:Panda Restaurant Group, Inc. is seeking a highly skilled Field Human Resources Manager to serve as a strategic HR partner to Operations leadership in assigned regions. This key role involves developing and coaching Operations management, partnering in People Planning, and providing training courses to leadership and associates.About the Job:This...
-
Strategic Business Development Executive
5 days ago
Denver, Colorado, United States bet365 Full timeAbout the RoleWe are seeking a highly skilled Strategic Business Development Executive to join our team in Denver. As a key member of our Sportsbook Operations team, you will play a pivotal role in driving our expansion across North America.Key Responsibilities:BUILDING STRATEGIC PARTNERSHIPSDEVELOPING AND EXECUTING BUSINESS GROWTH STRATEGIESSUPPORTING...
-
Strategic Operations Manager
7 days ago
Denver, Colorado, United States SGF Global Full timeAs a Strategic Operations Manager at SGF Global, you will be responsible for driving project execution across various business units.Company OverviewSGF Global is a dynamic company seeking a highly skilled Strategic Operations Manager to oversee the successful implementation of projects in our Denver location. The ideal candidate will possess strong...
-
Strategic Business Development Manager
1 week ago
Denver, Colorado, United States Cherry Coatings Full timeBusiness Development ManagerCherry Coatings is a leading innovator in advanced techniques for commercial projects. We specialize in Architectural Coatings, Shop Coatings, and Floor Coatings, and are committed to delivering exceptional results.Key Responsibilities:Develop a strategic plan aligned with Cherry's customer targets.Plan approaches and pitches,...
-
Executive Administrator
7 days ago
Denver, Colorado, United States Beacon Hill Full timeAbout the RoleWe are seeking an exceptional Executive Administrator to join our team as a strategic operations professional and executive. This role will be responsible for managing the firm's business operations, supervising employees, and working closely with the owner and executive team on strategy, planning, leadership, culture, policy, problem-solving,...
-
Strategic Business Development Director
1 week ago
Denver, Colorado, United States Association for Experiential Education Full timeAbout SodexoSodexo, a leading provider of experiential services, offers an exciting opportunity for a Strategic Business Development Director to join our team.Salary: $120,000 - $180,000 per yearThe successful candidate will be responsible for leading all activities and teams for a specific activity sector or geographic area in a regional segment.About the...
-
Strategic Procurement Specialist
1 week ago
Denver, Colorado, United States DSJ Global Full timeUnlock Your Potential as a Strategic Procurement Specialist - Software SolutionsAbout the Role:We are seeking an experienced Strategic Procurement Specialist - Software Solutions to join our team at DSJ Global. As a key member of our organization, you will be responsible for leading strategic sourcing initiatives and driving business value through effective...
-
Strategic Portfolio Operations Manager
7 days ago
Denver, Colorado, United States Tiverton Advisors Full timeJob SummaryTiverton Advisors, a leading investment firm in the food and production agriculture sector, seeks a seasoned finance professional to join its team as a Vice President of Portfolio Operations. This is an exciting opportunity to leverage your expertise in strategic finance and operations to drive value creation across our portfolio companies.About...
-
Strategic Business Development Lead
1 week ago
Denver, Colorado, United States Cherry Coatings Full timeDrive business growth and expansion at Cherry Coatings as a highly skilled Strategic Business Development Lead. This pivotal role involves cultivating new opportunities, fostering strong client relationships, and leveraging market insights to propel the company's success.
-
Master Controls Specialist
6 days ago
Denver, Colorado, United States Gulfstream Strategic Placements Full timeJob OverviewGulfstream Strategic Placements is seeking a highly skilled Master Controls Specialist to lead the technical implementation and optimization of Building Automation Systems (BAS) projects.
-
Strategic Business Development Lead
2 weeks ago
Denver, Colorado, United States Wolters Kluwer Full timeJob Summary: We are seeking a highly skilled Strategic Business Development Lead to join our team at Wolters Kluwer. The ideal candidate will have a strong background in strategy consulting and corporate development, with a proven track record of driving business growth and expansion. Key Responsibilities: Lead key research projects to identify market...
-
Strategic Business Solutions Expert
7 days ago
Denver, Colorado, United States American Auto Shield Full timeSenior Business Analyst Role at American Auto ShieldWe are seeking a highly skilled Senior Business Analyst to join our team in Lakewood, CO. As a key member of our organization, you will play a crucial role in providing strategic technology solutions to drive business growth.About the RoleThe Senior Business Analyst will work closely with stakeholders to...
-
Strategic Business Growth Manager
7 days ago
Denver, Colorado, United States Blue Signal Search Full timeAbout Blue SignalBlue Signal is a renowned executive search firm specializing in finance & accounting recruiting. We have established ourselves as experts in finding top talent in private equity, asset management, financial services, FinTech, and accounting leadership.A Competitive Salary: $120,000 - $150,000 per annum, depending on experience.Job...
-
Strategic Human Resources Business Partner
6 days ago
Denver, Colorado, United States Primoris Renewable Energy Full timeJob Title: Strategic Human Resources Business PartnerWe are seeking a highly skilled and experienced Human Resources Business Partner to join our dynamic team at Primoris Renewable Energy.
-
Operational Claims Management Specialist
3 days ago
Denver, Colorado, United States Vorto Operations LLC Full timeAbout Vorto Operations LLCVorto Operations LLC is a pioneering organization on a mission to revolutionize supply chains through efficient and sustainable practices. By leveraging cutting-edge AI technology, our autonomous platform seeks to minimize carbon emissions caused by transportation and create new job opportunities across various sectors.Job...
-
Denver, Colorado, United States Transamerica Full timeWe are seeking a skilled Strategic Business Intelligence Insights Leader to join our team at Transamerica. In this role, you will have the opportunity to leverage your expertise in business intelligence concepts and tools to drive strategic decision-making across the organization.About the Role:Leverage MSBI tools including Excel/PowerPivot, SSRS,...
-
Denver, Colorado, United States Association for Experiential Education Full timeOverview: Association for Experiential Education seeks a seasoned professional to lead its operations in the southwest region. This is a key role that will drive growth, innovation, and excellence in client partnerships.Job Description:We are seeking a strategic leader with a compelling executive presence to lead our campus operations in the southwest...
-
Strategic Financial Operations Manager
7 days ago
Denver, Colorado, United States FBC Remodel Full timeWe are a multi-state design & build residential remodeling firm prioritizing our team's well-being and growth. As a Strategic Financial Operations Manager, you will combine financial savvy with an eye for strategy to ensure both our financial health and team's well-being.Key ResponsibilitiesFinancial reporting, budgeting, and month-end closingsManaging...