Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Strategic Program Analyst provides oversight to supplemental benefits such as dental, vision, hearing, OTC, or non-emergent transportation benefits that contribute to organizational membership growth, experience, CAHPs and Stars, finances and strategic vision. Includes oversight of partner performance, data analysis to identify, substantiate, and implement process improvements and strategies, and benefit administration. Partners with Clinical, Product, Sales, Member Services, Technology departments to formulate and execute annual strategy and implementations
General Duties/Responsibilities
- Data Analytics: Compiles and interprets data sets to extract meaningful insights to assess financial, member, and growth impact.
- Project Leadership & Strategic Alignment: Spearheads project teams, ensuring the development of comprehensive plans and scopes that resonate with the organization's strategic objectives.
- Account & Operational Management: Oversees daily account operations including management of the project lifecycle, including vendor selection, vendor on/off boarding, benefit integration, etc.
- Performance Monitoring & Corrective Actions: Continuously monitors project progress against objectives, identifying improvement opportunities, and devising & implementing action plans.
- Issue Resolution: Takes initiative in identifying and resolving operational challenges, working closely with team members and presenting findings, solutions, or next steps to senior leadership.
- Market & Competitor Analysis: Monitors market and competitor movements, customer experience goals, and emerging trends. Continually assess the consumer experience with existing vendors, track new entrants in the market, and document capabilities of competing companies.
- RFP Management: Oversees and manages the RFP process including benefit recommendation, negotiation, and contract implementation.
- Technical Documentation: Collaborates with stakeholders to identify and articulate needs, translating them into actionable operational and technical requirements documents, ensuring clarity, accuracy, and alignment with project objectives.
Experience
Job Requirements:
- Required: Minimum 3 years direct experience as a technical, business or project manager or analyst
- Preferred: 3 years healthcare experience.
Education
- Required: High School Diploma or GED. Bachelor's degree or four years additional experience in lieu of education.
- Preferred: MBA
Training
- Required: Project Manager
- Preferred: PMP
Specialized Skills
- Required:
- Thorough understanding of one or more of the following operations: claims processing, membership & eligibility, customer service, managed care or health insurance administration
- Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
- Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
- Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
- Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
- Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
- Report Analysis Skills: Comprehend and analyze statistical reports.
Licensure
- Required: Project manager certification or formal project management training, (experience in a similar role will be considered as an acceptable substitute)
- Preferred: PMP
Essential Physical Functions
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
- The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $85,696.00 - $128,543.00
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
- DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.
