Who We Are:

Founded in 2016, we’ve become a trusted and valued partner for health plans and providers. We offer a modern integrated ecosystem of healthcare operations, processes, and products, with inherent scalability, efficiency, and predictable outcomes. Our BPaaS delivery solutions work behind the scenes to manage our customers’ complex admin operations, giving them elbow room to focus on their members’ needs and well-being.

Bending cost curves, guaranteeing outcomes, finding paths through roadblocks – that’s our way of life. Our customers count on us to safely navigate them through deadlocks. We have a strong global presence and a dedicated workforce of 4000+ people spread across the world.

Our brand is built on strong foundations of simplicity, honesty, and leadership, and we stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.

You Are:

UST HealthProof is looking for a Delivery Manger, who under the general supervision of the Delivery Director/VP of Delivery, will successfully deliver a health plan ecosystem within time, budget, and client satisfaction. The Delivery Manger will work with the Health Plan Clients, multiple third-party vendors, and onshore and offshore associates to support large scale system installations, data conversions and then transition these implementations into high performing BPaaS Operations. 

The Opportunity:

•                  Preferred bilingual Spanish and English speaking

•                  Assume overall responsibility for a successful implementation of Health plan ecosystem offering for healthcare payor using HealthEdge HealthRules suite and other participating vendors for the client.

•                  Build and execute a program management plan by having an understanding how different projects/platforms communicate and overlap.

•                  HealthProof track leaders, including partner project managers, will dotted line report to the delivery manager.

•                  Maintain RACI matrix and RAID Log, to deliver high quality solutions to customers.

•                  Develop and implement strategy for the program team, including developing a robust risk mitigation plan. This includes managing scope, changes, and interventions to ensure project goals are achieved.

•                  Exhibit knowledge of the health plan environment and how technology enables health plan operations

•                  Ensuring relevant standards, process and regulations are upheld in addition to producing accurate and timely reporting of program status throughout its life cycle.

•                  Manage all vendors and their project managers/plan to an overall program management plan

•                  Managing budgets ($2.5M - $5.0M) and reporting to internal and external stakeholders.

•                  Meeting with stakeholders, VP/CIO & Business stakeholders to make communication easy and transparent regarding project issues and decisions on services.

•                  Effectively structure and drive Steering Committee meetings.

•                  Ensuring goals are met in areas including customer satisfaction, security, quality, and team member performance. In addition, work with client to increase awareness of program for a successful rollout.

•                  Interact with Project Sponsors, other Technical Managers, and multiple development teams to define and deliver complex cross-functional projects.

•                  Collaborate with the leadership team to identify staff transition and go live plans including operational readiness planning.

•                  Assist in the coaching of staff towards meeting and exceeding performance expectations for quality, timeliness, and efficiency.

•                  Perform other duties and special projects as assigned.

•                  Conduct staff training.

•                  Provide constructive feedback to staff.

•                  Comply with the organization’s Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.

 

What you need:

•                  Knowledge in managing complex programs, ecosystems, and environment schemas.

•                  Experience with Program Management, Problem Management, Release Management, Change Management, and exposure to SDLC.

•                  Coordinate with team to quickly identify program blockers, issues and establish solutions.

•                  Ability to communicate effectively across all levels within Technology, Business and Operations.

•                  Capability to approach problems as challenges and deal with them constructively while promoting this approach to other team members.

•                  Understanding of the impact of system reliability on business processes and financial performance.

•                  Strong presentation skills.

•                  Strong planning and coordination skills.

•                  Healthcare payor experience.

•                  Experience with Agile tools and methodologies.

•                  Bachelor’s degree or higher in business or technical field

•                  At least 8 years of relevant work experience in IT or Healthcare Management.

•                  Work experience in client partner or account interaction is a preferred.

•                  Strong/proven Customer Focus.

•                  Experience working in an offshore model is a must.

•                  Experience in a HealthEdge Payer platform and a managed care environment is preferred.

 

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST HealthProof provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Remote US

Compensation Range: $150,000 - $180,000

Benefits Full-time, regular employees accrue up to 16 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave. They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company-paid benefits: basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits. Regular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses. Certain regular employees may have the potential for quarterly incentive-based bonuses and or commissions depending on role. Benefits offerings vary in Puerto Rico. Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance. Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year). All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.

What We Believe  At UST HealthProof, we envision a bold future for American healthcare. Our values are the bedrock beliefs our organization holds dear. They not only define what our brand stands for but also serve as a compass guiding every action and decision.

Guiding Principles  These principles illuminate the path of ‘how’ we operate. They detail actions and behaviors we much embody to honor our values and achieve our goals.

 ·        Simplicity Simplifying complexity underlines everything we do—this approach is what makes us unique. We come with an open mind and straightforward approach, cutting our way to the core with measurable and actionable insights. ·        Integrity Integrity is our currency to build relationships. We believe in being open and honest. It is only natural when we have nothing to hide. It demonstrates that we are here to do the right thing, no matter who is watching.

 ·        People-Centricity Everything that we do reflects our deep bonds with peers and customers. These aren't mere transactions, but transformational ties. They shape our culture and decisions, affirming that our true value lies in the lives we touch and impact.

·        Leadership Taking ownership is about taking initiative, being in-charge and driving things to completion. It’s a brave choice to ‘own’ all aspects of our work, ensuring we take full responsibility for everything we handle.

Mission  A future possible only when health plans are free from administrative burdens so they can truly focus on what matters more – their members’ well-being. 

Equal Employment Opportunity Statement
UST HealthProof is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances. UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance. #Healthproof

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