Manager, Functional Operations

SUMMARY: This position will support Emergient Operations and be responsible for operational oversight for joint venture Medicare Advantage plans as well as a supportive role in all future JV implementation opportunities. This position will support the Program Lead Model. This position will work with all JV business units to analyze, redefine and monitor workflow to ensure maximum effectiveness to gain efficiencies in support of our goals. The position will report to the Director of Member Acquisition or Director of Operations. RESPONSIBILITIES/TASKS: Understands the purpose and objective, scope, and deliverables of the health plans overall JV program lead committees and how they work together to operate the plans Understands, organizes, facilitates, and leads respective scope, leadership stakeholders using deliverables/documentation to drive outcomes. Organizes and works with appropriate leadership, departments, partner plans, and functional areas of the parent company to operate and maintain Emergients current health plans as well as plan for future health plans. Responsible for the coordination and completion of operational projects and initiatives involving the planning, design, and implementation of administrative and other functional business processes. Participate in development of operational, project, and initiative budgets, monitor budget and identify budget discrepancies. Research discrepancies and make recommendations. Track metrics/ KPIs to ensure satisfactory health plan outcomes. Compile operational dashboards and status reports accurately and timely with the appropriate level of detail for team, leadership, and executive updates. Document and track follow-up items from meetings. Create meeting agenda(s) at least 24 hours in advance of all the meetings. Distribute minutes for operational meetings and other one-off meetings as necessary. Lead all aspects of front office operations oversight and ensures compliance to all processes including accuracy, consistency and timelines. Support Work Track Project Managers as they continue to build and maintain work track work plans (MSP) identifying Critical Path, in current and future implementations. Begin preparing for change and establish a collaborative, communicative environment. Build and maintain working relationships with team members, vendors, and other departments. Implement process improvement initiatives that help standardize ongoing tracking and improve overall efficiency. DIRECTION EXERCISED: Directly supervises exempt staff in accordance with company policies and applicable Federal and State Laws. Responsibilities include, but are not limited to, effectively interviewing, hiring, terminating, and training employees; planning, assigning, and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems; supporting and encouraging the engagement process. This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. EMPLOYMENT QUALIFICATIONS: EDUCATION OR EQUIVALENT EXPERIENCE: Bachelors degree required; masters highly preferred. Combinations of relevant education, certifications, and experience may be considered in lieu of a degree. Continuous learning, as defined by the Companys learning philosophy, is required. EXPERIENCE: Seven years experience with demonstrated technical experience that provides the necessary knowledge, skills and abilities. Minimum of five (5) years related technical experience, including three (3) years of project management experience is also required. Previous experience in the insurance industry including Medicare is a requirement. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Strong understanding of insurance markets, including Medicare. Deep expertise of standard project planning processes and tools, including demonstrated