Bachelor's Degree in a related field; Master's preferred.
Minimum of 5 years experience in a relevant field.
Leadership experience managing projects and/or teams required.
Proficient in coaching and developing team members.
Strong skills in organization, planning, analysis, and problem-solving.
Working knowledge of corporate organizational structures and functions.
Excellent verbal, written communication, and interpersonal skills.
Responsibilities
Lead the assigned business unit effectively by managing resource utilization within broad objectives.
Oversee and adapt business plans to address operational challenges and resource needs.
Evaluate and improve existing business processes to enhance operational efficiency.
Direct and develop team members to meet business unit objectives.
Manage special projects to ensure successful delivery of business outcomes.
Provide effective solutions for complex business challenges.
Align daily operations with organizational goals.
Benefits
Professional development opportunities.
Collaborative work environment across business units and teams.
Work on strategic initiatives that enhance customer experience and operational efficiency.
Engagement in projects that influence company-wide decisions.
Full Job Description
Job Description
This position provides leadership to an assigned business unit and serves as a subject matter expert and consultant in billing and payment processing platforms (e.g., ACI) and digital payment solutions. Responsible for advancing enrollment, membership, billing, delinquency, and electronic payment capabilities through strategic initiatives, technology-enabled solutions, and process improvements. Partners closely with business, technology, and vendor teams to define requirements, assess operational impacts holistically, support solution delivery, and implement enhancements that improve customer experience, operational efficiency, compliance, and business outcomes.
Responsible for planning, organizing and managing an assigned business unit. Operate within broad objectives to ensure optimum utilization of resources; adapt business unit plans and priorities to address resource and operational challenges. Evaluate policies, procedures and business unit goals to make decisions and solve problems.
Manage activities of a department including, but not limited to planning, problem solving, staff development and communication.
Manage the evaluation of new and existing business processes to identify areas of opportunity and execute on business unit objectives, supporting continuous improvement.
Lead, direct, evaluate and develop the work of assigned employees.
Responsible for special projects, programs and initiatives to ensure successful delivery of business outcomes.
Provide effective and efficient solutions to complex business problems
Ensure that day to day business unit operations align with organizational objectives.
Qualifications
Bachelor's Degree in a related field is required. Master's Degree in a related field is preferred.
Five (5) years of experience in a related field is required.
Previous experience leading projects and/or teams is required.
Ability to effectively lead, coach and develop team members.
Ability to work effectively in a team environment.
Strong organizational, planning, analytical, and problem-solving skills.
Working knowledge of corporate organizational structures, including functional responsibilities.
Strong verbal, written communication and interpersonal skills.
Ability to manage multiple priorities concurrently.
Ability to solve practical problems and deal with moving variables in situations with limited standardization and alignment.
Ability to interface and present to all levels of the organization.
Ability to build relationships and work collaboratively with cross-functional teams.
Departmental preferences:
Contract administration experience including vendor management, negotiations, financial forecasting, and budget oversight.
Experience serving as a liaison between business operations, Digital Experience, Information Technology, and external vendors.
Knowledge of membership, enrollment, billing, delinquency, and payment systems, processes, dependencies, and regulatory and compliance requirements for Medicare and MarketPlace customers.
Understanding of payment processing platforms, billing/payment integrations, and customer-facing digital solutions, including Member Portal and SalesForce.
Experience supporting vendor-managed applications, including release and defect management, root cause analysis, enhancement prioritization, and operational governance.
Ability to evaluate business capabilities and influence strategic roadmap and transformation initiatives.
