Provider Operations & Analytics Leader

TPIS; San Juan (PR); On-site; USD 65,000 - 70,000; Full time

Job summary

TPIS in San Juan, PR is seeking a Manager for the Providers Department to optimize provider operations and administration. You will analyze market trends, design compensation models, and lead cross-functional teams to ensure regulatory compliance and efficiency.

Responsibilities include benchmarking, performance measurement, and developing dashboards using Power BI, with a focus on reducing inefficiencies and enhancing member outcomes.

Qualifications

• Bachelor's degree in Business Administration or related field.
• At least five years of experience including two years supervising personnel.
• Experience with data analysis, reporting, and provider administration in health insurance.
• Experience leading cross-functional teams and presenting to stakeholders.

Responsibilities

• Research operational benchmarks and recommend efficiency improvements.
• Design provider compensation models to support sustainability and member satisfaction.
• Analyze Medicare Advantage trends and CMS data to inform planning.
• Measure provider performance with clinical, financial, and satisfaction metrics.
• Streamline workflows to reduce admin burden and improve service delivery.
• Lead cost containment initiatives with targeted process improvements.
• Improve provider-facing systems for usability and alignment with workflows.
• Develop Power BI dashboards to visualize KPIs and metrics.
• Collaborate with cross-functional teams to align with goals and compliance.
• Supervise and train staff to ensure adherence to policies and roles.

Skills

Data analysis

Report generation

Public speaking

Project leadership

Cross-functional collaboration

Education

Bachelor's degree in Business Administration or related field

Tools

Power BI

Excel

Job description

TPIS in San Juan, PR is seeking a Manager for the Providers Department to optimize provider operations and administration. You will analyze market trends, design compensation models, and lead cross-functional teams to ensure regulatory compliance and efficiency.

Responsibilities include benchmarking, performance measurement, and developing dashboards using Power BI, with a focus on reducing inefficiencies and enhancing member outcomes.