Solutions Management Manager

Role Overview

• Leads planning and implementation of Cardiovascular and Radiology Benefits Management solutions
• Serves as the single point of contact and subject matter expert on all aspects of planning, implementing and managing day-to-day operational, technical and business partner interactions for existing programs
• Works together with Product Development to consult on enhancements to existing products and development of new clinical solutions based on analytics
• Provides consultation and advice to business partners regarding benefits of products and analytics
• Explains timelines and measures of success for implementing these products
• Coordinates with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business
• Communicates changes to Product Development for consideration in product performance and financial analyses
• Schedules and coordinates implementation of contracted products and services for assigned business partners
• Coordinates data requirements, production schedules and deliverables with the business partner
• Oversees all business partner specifications and/or modifications for contracted products and services
• Provides business partners with the resources, training and services necessary to effectively utilize the products that the department provides
• Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance
• Maintains detailed knowledge of current clinical measures and future clinical measure development plans
• Communicates information to business partners, assisting in selection of clinical measures to be utilized in pilot and full rollout of products and services
• Guides business partners in continually reviewing and updating clinical measure sets
• Maintains detailed knowledge of all current systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner
• Leads department projects and mentors’ solutions management staff

Requirements

• Requires a BA/BS
• Minimum of 5 years experience in a related field
• Minimum of 2 years experience in solutions management
• Graduate degree and/or professional designation related to field preferred
• Project management experience preferred
• Utilization management experience in Cardiovascular or Radiology preferred
• Highly organized and analytical with strong attention to detail
• Ability to manage multiple priorities while maintaining accountability
• Strong communication and interpersonal skills; approachable and team oriented
• Experience using Jira and Confluence preferred
• Proven track record of learning quickly and adapting in a fast-paced environment
• Ability to work with agility, flexibility, and willingness to participate in hands-on training and daily collaboration
• Ability to support a work schedule aligned to 8:00 AM – 5:00 PM CST preferred

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical benefits
• Dental benefits
• Vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources