Strategic Operations Leader - Health Plan & Vendors

Blue Cross of Idaho; Carmel (IN); Hybrid; USD 107,000 - 160,000; Full time

Job summary

Range Health in Meridian, Idaho, seeks a Strategic Operations Manager to serve as the operational integrator for Medicare Advantage and Medicare Supplement plans. You will provide end-to-end oversight, coordinate across vendor partners and internal leaders, and drive performance across enrollment, claims, member services, and quality.

This role requires transforming ambiguity into structure, leading cross‑functional teams, managing vendor relationships, and escalating risks to senior leadership.

Qualifications

• At least five years of health plan, managed care, or related experience.
• Experience coordinating complex work across multiple business functions, vendors, or operational business partners.
• Experience using operational data, performance reporting, or business metrics to identify issues and drive action.
• Demonstrated ability to influence business partners, managing stakeholders and senior leadership.

Responsibilities

• Provide end-to-end oversight of operational performance and workflows supporting Range Health Medicare Advantage plans.
• Serve as the central point of coordination across Range Health, Blue Cross of Idaho leadership, contract owners, technology partners, operational vendors and senior leadership.
• Identify dependencies, performance gaps, and issues that may affect members, providers, regulatory commitments, financial results, or business objectives.
• Establish clear operating routines, escalation pathways, decision structures, and accountability mechanisms for the operating model.
• Lead recurring operational performance meetings and steering committee discussions, including preparation of performance updates, risks, decisions, and follow-up actions.
• Track issues through resolution and escalate unresolved risks to appropriate leaders.
• Lead day-to-day operational relationships with the third‑party administrator and other key vendors.
• Monitor vendor performance against statements of work, SLAs, KPIs, and contractual commitments.
• Collaborate with internal owners to evaluate vendor results and support contract value realization.
• Facilitate issue escalation and resolution between vendors, technology teams, and executives.
• Support quality assurance activities and evaluate remediation plans.
• Find opportunities to reduce fragmentation across vendors and improve accountability for end-to-end outcomes.

Skills

Vendor relationship management

Cross-functional leadership

Operational analysis

Executive communication

Problem solving

Job description

Range Health in Meridian, Idaho, seeks a Strategic Operations Manager to serve as the operational integrator for Medicare Advantage and Medicare Supplement plans. You will provide end-to-end oversight, coordinate across vendor partners and internal leaders, and drive performance across enrollment, claims, member services, and quality.

This role requires transforming ambiguity into structure, leading cross‑functional teams, managing vendor relationships, and escalating risks to senior leadership.