Business Operations, Manager

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We invite you to embrace the mission, actively engage in problem-solving, and take ownership of your work every day. Join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

About the role

The Business Operations Manager will play a pivotal role in ensuring the seamless and efficient delivery of services, maintaining compliance with client service level agreements, and driving continuous improvement initiatives to enhance organizational performance. This is a vital, client-facing, team-supporting role within the highly effective global team that operates and enhances healthcare technical solutions. This is a remote position within the State of New Jersey.

Responsibilities

• Lead day-to-day business operations for all areas of delivery related to Provider Screening, Enrollment and Monitoring, including:
  • Document Management and Workflow Performance
  • Provider Data Management
  • Provider Support Services (training and site visits)
  • Provider Enrollment Call Center
• Direct Operations functional teams across the MMIS business and work independent of supervision.
• Oversee programs with a typical team size of 35-50 resources, including leaders/direct reports within the operations.
• Oversee compliance to Service Level Agreements, monitor and track client-specific SLAs to ensure they are met. If an SLA is not met, work with teams on corrective actions to prevent future misses.
• Work closely with subcontractors (when applicable) and vendors, providing input for subcontractor and vendor contracts.
• Foster and demonstrate thought leadership in improving operations and collaborate with systems in identifying improvements.
• Develop relevant metrics for the Operations function and use metrics as a basis for communication and continuous improvement.
• Demonstrate advanced knowledge of operations methodologies, best practices, and procedures; apply them to projects to ensure Operations team objectives are achieved.
• Interface with senior management and provide industry best practices when called upon.
• Partner with clients, develop effective collaborative client relationships, and analyze issues and problems from the client perspective.
• Keep abreast of new technology and market developments.
• Closely coordinate with Operations Leaders accountable for Change Requests, Project Management, Application System Analysis, Software Quality Assurance, Enterprise Information Services, Delivery Services, and the Enterprise Program Management Office.
• Read, understand, and adhere to all corporate policies including those related to HIPAA and its Privacy and Security Rules.

The list of responsibilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary.

Requirements

• A bachelor’s degree and 5+ years of relevant experience.
• 5+ years of operations leadership experience at large complex healthcare organizations.
• Preferred Medicaid systems/MMIS/Provider Module experience.
• Preferred experience leading Provider Screening, Enrollment, and Monitoring.
• Highly organized with analytical skills and attention to detail.
• Excellent communication skills (verbal, written) with strong presentation and facilitation skills.
• Excellent client relationship skills.
• This role may require up to 25% travel.

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include:

• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts
• And more

Pay

The pay range for this position is USD $93,040.00 - USD $116,300.00 per year. Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.