FACETS Claims & BPM Ops Lead for Healthcare Payers

Envision Technology Solutions

Seattle (WA)

Presencial

USD 150.000 - 210.000

Tempo integral

Há 2 dias

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Resumo da vaga

Envision Technology Solutions is seeking a senior leader to drive end-to-end FACETS Claims Operations transitions and ongoing operational delivery. You will serve as the trusted advisor to the client, managing executive governance, risk reviews, and cross-functional collaboration with Enrollment, Provider Operations, Configuration, and Technology teams.

The role focuses on ensuring SLA adherence, quality, and steady-state delivery while leading BPM transformation initiatives, automation, and

Qualificações

10+ years of Healthcare Payer Operations and BPM/BPO experience with deep expertise in FACETS Claims Processing and Adjudication.
Experience leading large-scale transition, transformation, and managed services engagements.
Strong stakeholder management, leadership, and client-relations skills.

Responsabilidades

Lead end-to-end transition and operational delivery of FACETS Claims Operations, ensuring readiness and seamless handoff to delivery teams.
Act as the primary client-facing lead, managing executive stakeholder relationships, governance forums, risk reviews, and operational decision-making.
Oversee FACETS claims adjudication operations, ensuring productivity, quality, and SLA commitments.
Establish governance processes, metrics, dashboards, and controls to monitor performance and provide visibility to stakeholders.
Drive continuous improvement, automation, and transformation initiatives across healthcare payer operations.