Operations Manager, NH Medicaid

It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary:

The Business Operations Manager, NH Medicaid is responsible for overseeing the implementation, monitoring and integration of key projects, initiatives, programs and processes for the New Hampshire (NH) Medicaid program. The Operations Manager advises, assists, and represents NH Medicaid on a wide range of regulatory, programmatic and operational issues and serves as liaison to various constituencies across WellSense. Develops key communications and tracking, in consultation with the management team as appropriate, including key business updates, presentations, and performance tracking development/execution.

Our Investment in You:

* Full-time remote work

* Competitive salaries

* Excellent benefits

Key Functions/Responsibilities:

• Design, lead, and implement business improvement initiatives for the NH Medicaid Operations team
• Acts as liaison across the Health Plan on a variety of subjects including performance, data, reporting, etc.
• Assumes responsibility for planning, monitoring and integrating activities required for the effective functioning of NH Medicaid Operations team.
• Acts as an information link across the NH Medicaid Operations Team and across WellSense leadership as appropriate to improve communication and information alignment across teams.
• Has regular contact with staff across all parts of the organization, including Leadership Team members.
• Prepare monthly NH Medicaid Operations program deliverables such as accomplishments reports, dashboard updates, and initiative status updates
• Develop and conduct NH Medicaid Operations business learning and training events
• Manage and maintain NH Medicaid Operations team resources for employees and managers
• Develop and maintain NH Medicaid Operations dashboards to track metrics, goals and initiative improvement progress
• Special projects to increase efficiency and effectiveness of NH Medicaid Operations team and programs
• Develops meeting agendas and coordinates communications.
• Other duties as assigned

Supervision Exercised:

* None

Supervision Received:

* General direction is received weekly or as needed.

Qualifications:

Education Required:

* Bachelor's Degree or the equivalent combination of training and experience, plus 5 years related experience.

Experience Required:

* A minimum of 5 years of related program management/operational experience.

Experience Preferred/Desirable:

* Previous experience in a Healthcare/insurance field is highly preferred.

Required Licensure, Certification or Conditions of Employment:

* Successful completion of pre-employment background check

Competencies, Skills, and Attributes:

* Effective collaborative and proven process improvement skills.

* Excellent judgment and discretion, including a proven ability to handle highly sensitive and confidential information.

* Ability to respond to constantly changing circumstances, work under short deadlines, and handle a necessarily ambiguous role required.

* Comprehension and appreciation of the complexities inherent in an organization and of its corresponding corporate culture.

* Strong oral and written communication skills; ability to interact within all levels of the organization.

* A strong working knowledge of Microsoft Office products.

* Demonstrated ability to successfully plan, organize and manage projects

* Detail oriented, excellent proof reading and editing skills.

Working Conditions and Physical Effort:

• Work is normally performed in a typical interior/office work environment.
• No or very limited physical effort required. No or very limited exposure to physical risk.

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees