Position Overview:  

HealthEdge is looking for a Operations Strategy & Planning Principal  for the HRP business unit. Reporting to the GM, you will bring your thought leadership to execute departmental and enterprise initiatives, oversee department communications, help quantify ROI related to business and technology investments and manage OKR and KPI reporting. Exceptional business acumen, attention to detail, organizational skills and impeccable communication skills are critical to success in this role.  

The Product:  

With HealthRules Payor, our integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a unique to industry configuration and promotion application, and home and host processing support available on both public and private clouds. The fact is, a Core Administrative Processing System (CAPS) needs to do much, more more than just core administrative processing. That’s why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering 90%-97% first-pass auto-adjudication rates and 99%+ accuracy, it enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite of solutions from HealthEdge delivers a digital foundation for payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. 

 Your impact:   

• Act as a strategic advisor to GM and the HRP leadership team, providing insights and support on business operations, strategy, and planning.  

• Coordinate the execution of strategic initiatives, ensuring collaboration across departments and timely completion of projects.  

• Facilitate communication between the leadership team and stakeholders, including drafting and disseminating updates and reports.  

• Organize and prioritize critical issues and required information for the team to facilitate efficient decision-making.  

• Lead special projects assigned by GM, ranging from operational improvements to new business opportunities.  

• Be a partner to the leadership team to drive strategy, OKRs development, tracking and effectiveness to drive execution and accountability.  

• Ensure that OKR Objectives are clear and measurable, and the expected values and metrics are well defined.  

• Lead Board meeting preparation and documents in partnership with the leadership team; create board facing materials.  

• Partner with finance to determine the metrics they need including owning the format and cadence of such reports and solicit inputs from the necessary stakeholders.  

• Oversee communications related to department-wide initiatives.  

What you bring:   

• 7+ years’ experience in operations, strategic planning, consulting, or related field   

• Experience working within the Healthcare industry preferred.  

• Bachelor’s degree in business, Management, or related field; MBA or relevant graduate degree preferred.  

• Demonstrated ability to develop and implement strategic plans and solutions.  

• Exceptional communication and interpersonal skills, with the ability to work effectively with all levels of the organization.  

• Strong analytical and problem-solving skills, with a proven track record of effectively managing complex projects.  

• Highly organized and detail-oriented, with the ability to manage multiple priorities and deadlines.  

• Deep understanding of business operations, financial planning, and performance metrics.  

• High EQ and a comfort level working with and presenting to C-level executives; Natural ability to influence.    

• Ability to independently problem solve with the ability to analyze complex data and develop insights and recommendations.  

• Strong project management skills, with the ability to manage multiple projects simultaneously.  

Geographic Responsibility: While HealthEdge is located in Burlington, MA, you may live anywhere in the U.S.  

Type of Employment: Full-time Regular  

Travel: 25%  

FLSA Classification (USA Only): Exempt  

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:   

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.  

• Work across multiple time zones in a hybrid or remote work environment.  

• Long periods of time sitting and/or standing in front of a computer using video technology.  

• May require travel dependent on company needs.  

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990.  Candidates may be required to go through a pre-employment criminal background check.  

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