Position Overview:
HealthEdge is seeking a visionary and results-driven senior leader to establish and lead our Strategy, Delivery Operations & Portfolio Management function. This newly created role is pivotal in driving enterprise-wide operational excellence, aligning strategic priorities, and enabling scalable, high-impact delivery across our Customer Operations organization.
As a key member of the leadership team, this individual will architect and oversee a comprehensive portfolio management framework that ensures transparency, accountability, and executional rigor across initiatives. The role will lead a high-performing team responsible for enterprise planning, delivery governance, operational tooling, financial oversight, and continuous improvement. This role will directly support the Enterprise Customer Operations organization, including HRP, Guiding Care, Wellframe, Source, and PDM, and will serve as a strategic partner to executive stakeholders to ensure alignment between business goals and operational execution.
The Product:
With HealthRules Payer, 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:
Strategy & Delivery Operations:
Portfolio Management:
What You Bring:
Geographic Responsibility: Remote, US
Type of Employment: Full-time, permanent
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 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.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
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