Strategic Operations Lead

McLaren Health Care; Flint (MI); On-site; USD 110,000 - 160,000; Full time

Job summary

McLaren Health Plan seeks a Strategic Operations Lead to advance strategy, performance, and regulatory readiness across UM and CM. This individual-contributor role partners with the Director of Health Services Operations to drive enterprise initiatives with data-driven decision making and continuous process improvement.

The position focuses on operational excellence, regulatory readiness, and cross-functional execution to support organizational goals within a premier health plan environment.

Qualifications

• Required: Bachelor's degree in healthcare administration, business administration, nursing, public health, or related field.
• Five (5) years’ progressive experience in managed care, health plan operations, utilization management, care management, quality, compliance, or strategic operations with three (3) years of progressive responsibility in leading cross-functional or enterprise operational initiatives without formal authority over the teams involved.

Responsibilities

• Lead strategic initiatives and drive operational excellence across Utilization Management (UM) and Care Management (CM).
• Ensure regulatory readiness and alignment with CMS, NCQA, and state requirements.
• Partner with Director of Health Services Operations to execute data-driven decisions and enterprise priorities.
• Guide cross-functional projects and improve processes to achieve organizational goals.

Skills

Cross-functional leadership

Strategic operations

Data-driven decision making

Process improvement

Healthcare analytics

Education

Bachelor's degree

Master's degree preferred

Certifications: PMP/Lean Six Sigma/Agile

Tools

Power BI

Tableau

SQL

Job description

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Strategic Operations Lead, to join in leading the organization forward.

MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).

MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

Position Summary:

The Strategic Operations Lead serves in an individual-contributor role that partners directly with the Director of Health Services Operations to advance strategy, performance, and regulatory readiness across Utilization Management (UM), Care Management (CM), and related Medical Management programs. This role drives strategic initiatives, operational excellence, regulatory readiness, business performance, and cross-functional execution to support organizational goals and regulatory requirements. This role influences departmental performance without direct supervisory responsibility. The role leads enterprise initiatives and ensures execution of department priorities through data-driven decision making, project leadership, and continuous process improvement.

Qualifications:

Required:

• Bachelor\'s degree in healthcare administration, business administration, nursing, public health, or a related field.
• Five (5) years’ progressive experience in managed care, health plan operations, utilization management, care management, quality, compliance, or strategic operations with three (3) years of progressive responsibility in leading cross-functional or enterprise operational initiatives without formal authority over the teams involved.

Preferred:

• Master’s degree in healthcare administration, business administration, nursing, public health or a related field.
• PMP, Lean Six Sigma, Agile, or equivalent certification.
• Two (2) years’ experience in Medicaid, Medicare Advantage, Commercial, or Dual-Eligible health plans
• Two (2) years’ experience with CMS, NCQA, and state regulatory requirements
• Two (2) years’ experience with population health, UM, or CM platforms.
• Two (2) years’ experience with Power BI, Tableau, SQL, or other healthcare analytics tools

Additional Information

• Schedule: Full-time
• Requisition ID: 26004387
• Daily Work Times: 8:30 AM - 5:00 PM
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No