Job Description

Employment Type: Full time

Position Overview

Become a part of our caring community and help us put health first. This role will support ongoing performance evaluation and enhancement for STP initiatives, while also providing oversight for key financial performance metrics. The ideal candidate will bring a mix of operational insight and financial acumen to drive improvements across quality, efficiency, and cost-effectiveness.

Key Responsibilities

Operational Performance

• Monitor and assess the effectiveness of MRA programs and related STP operations.
• Identify process gaps, risks, and opportunities for efficiency or quality improvement.
• Support the execution of corrective action plans and performance improvement initiatives.

Financial Performance

• Monitor and analyze key financial metrics related to MRA with the STP.
• Partner with Finance and leadership to create forecasting models and tracking tools.
• Develop reports that link operational performance to financial outcomes.
• Identify cost savings opportunities while maintaining compliance and quality.

MRA Point of Contact

• Serve as the operational liaison for MRA-related projects and escalations.
• Coordinate with vendors, coding teams, and compliance to align on objectives.
• Support strategic roadmap development in collaboration with Kourtney and the Strategy Advisor.

Reporting & Analysis

• Support the development of performance dashboards (operational and financial).
• Synthesize data from multiple sources to provide actionable insights to leadership.

Use your skills to make an impact!

Required Qualifications

• Experience in healthcare operations, preferably with exposure to MRA or risk adjustment.
• Strong understanding of financial concepts (budgeting, ROI, cost management).
• Proficient Excel skills; familiarity with business intelligence tools (e.g., Tableau, Power BI).
• Able to work cross-functionally and communicate effectively with technical and non-technical stakeholders.
• Detail-oriented with a strategic mindset.
• Demonstrated project leadership experience spanning 2 or more years.
• Proven expertise in Microsoft Office XP products, including Word, Excel, and Access.
• Exceptional communication skills, both oral and written.
• Strong relationship-building abilities.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

• Master's Degree in Business Administration or a related field.
• PMP certification a plus.
• Six Sigma Certification also a plus.
• Knowledge and experience in health care environment/managed care.
• Strong analytical skills.

Additional Information

Work-At-Home Requirements

• Must have the ability to provide a high-speed DSL or cable modem for a home office.
• Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mbps download x 10mbps upload) is required.
• Satellite and Wireless Internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate...