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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in operational performance and workforce management, with a strong focus on data analysis, process improvement, and leadership in health care settings. Proficient in utilizing tools like SQL and Power BI to drive performance optimization and ensure compliance with regulatory standards.
Highest-signal resume keywords
Operational Performance ManagementWorkforce OptimizationData Analysis and ETL MethodsLeadership in Health CareMicrosoft Office and SQL Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data GatheringData CollectionExtract, Transform, Load (ETL)Process ImprovementPerformance ManagementReporting Solutions DevelopmentAnalytical SkillsProblem-Solving AbilitiesRequirements WritingUser Experience Testing
Soft Skills
Leadership SkillsRelationship-Building SkillsConflict Resolution SkillsCommunication SkillsCoaching and Mentoring
Tools & Technologies
Microsoft OfficeSQLPower BIOperational Processing SystemsReporting Tools
Industry Keywords
Health CareOperational ProcessesComplianceVendor ManagementPerformance Standards
Tech Stack
Tools & technologiesETLSQL
About the role
Key responsibilities & impact- Execute multiple operational performance and workforce management strategic and reporting initiatives
- Oversee performance and workforce optimization initiatives for operations functional areas
- Support operations functional areas on corporate workforce management projects
- Provide system performance analysis and develop, identify, and execute process improvements and business plans
- Lead an internal team of operational performance and workforce optimization professionals in testing, configuration, development, quality, and training
- Collaborate with operations leadership to develop and implement best practices using performance management data, tools, and workforce optimization methods
- Train operational leadership on comprehensive reporting and analysis tools and standard performance reporting
- Oversee development of reporting solutions to drive performance improvement
- Implement, train, and provide consultative services on reporting options for various audiences
- Drive operational improvement through analytic data to improve timeliness, work process efficiency, and resource utilization
- Oversee operational performance and workforce management tools and business implementations, including requirements writing and user experience testing
- Serve as the division’s key technical resource for operational performance and workforce management tools and technology
- Manage workforce management vendor relationships, evaluate new technologies, recommend technology improvements, and support vendor contract negotiations
- Support operational excellence vendor management in overseeing external vendor resources
- Prepare and deliver management summary reports and presentations to project teams, department heads, and management
- Monitor, coach, and mentor staff; recommend improvement strategies
- Develop the workforce optimization team through coaching and mentoring and ensure training needs are met
- Ensure operational expectations, corporate goals, BCBSA performance standards, and federal and state mandates are achieved
- Maintain compliance with corporate privacy policies, legislative and regulatory mandates, and Ethics/Compliance requirements
- Conduct periodic staff meetings and distribute and educate staff on departmental and Ethics/Compliance information
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s degree in related field and minimum of five (5) years of related experience in health care field, including two (2) years in a defined leadership role; or, in lieu of degree, minimum of eleven (11) years of related progressive experience in health care field, including two (2) years in a defined leadership role
- Familiarity with health care operational processing systems, practices, and procedures
- Considerable knowledge of operational processes and systems and ability to identify information and data required to develop analytics
- Expertise in data gathering, data collection, and extract, transform, load (ETL) methods
- Proficiency in Microsoft Office, SQL, and Power BI
- Strong analytical, diagnostic, and problem-solving abilities
- Ability to establish effective relationships with other areas of the corporation
- Demonstrated leadership skills
- Demonstrated skills in forming and fostering high-performing, cross-functional teams
- Excellent oral and written communication skills and ability to deal effectively and professionally with all levels of management and personnel
- Demonstrated conflict resolution skills
- Proficiency in identifying root causes of business and/or workflow problems and determining innovative solutions and opportunities
- Highly organized, self-starter with proven ability to produce high-quality output
- Positive attitude and highly effective relationship-building skills
- Ability to complete work in a traditional office environment under fluorescent lighting
- Ability to orally communicate
- Ability to sit at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time
- Ability to travel across health plan service regions as needed
- Ability to work in a home office for continuous periods of time for business continuity
Benefits
Comp & perks- Group health and/or dental insurance
- Retirement plan
- Wellness program
- Paid time away from work
- Paid holidays
- Potential remote work, determined case-by-case
- Equal opportunity employment
