• Job Description

  Req#: OPERA004970

  * Position is eligible for Remote / Work from Home opportunity *

  Department: Medical Policy Operations

  Telecommuting Eligible: Yes

  Job Grade: N16

  Notice of Collection & Privacy Policy for Applicants Residing in California: California Applicant Privacy Policy | Noridian (noridiansolutions.com)

  Job Title

  Operations Optimization Specialist II

  Job Summary

  The Operations Optimization Specialist is responsible for supporting the operational aspects of existing and new products and solutions. This position will assist in providing solutions for process improvements, product reviews and contract understanding for existing and new opportunities. This position requires a high degree of organization, time management, critical thinking, and the ability to be flexible while working in an ambiguous environment.

  Essential Functions

  Key Duties/Responsibilities/Accountabilities

  • Coordinates and assigns workload to Operations Optimization Specialist I
  • Mentors Operations Improvement Specialist I
  • Coordinates opportunity updates to leadership as needed
  • Responsible for quarterly opportunity support updates to leadership
  • Assists leadership in ensuring position budget through developing charge matrix are up to date
  • Attend monthly forecast meetings
  • Ability to conduct and document environmental scans of other customer markets to help create process improvements.
  • Coordinates through collaboration with growth team customer facing interactions
  • Serves as the point of contact and supports growth team through debrief activities post award to optimize business processes and incorporate lessons learned for future opportunities
  • Serves as the point of contact for various projects such as oversight of business development
  • Assists in providing expertise for contract modifications (requests for proposal, requests for equitable adjustment)

  Non-Essential Duties and Functions

  • Other duties as assigned

  Minimum Qualifications

  • Bachelor’s degree in business, marketing, healthcare or a related field or equivalent related work experience.
  • Previous experience in Federal, State or Commercial Business
  • Strong analytical skills and ability to interpret customer requirements to create solutions
  • Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams and senior management.
  • Experience managing complex projects with tight deadlines

  Preferred Qualifications

  Above requirements and the following:

  • 2+ years experience in of Federal, State or Commercial business
  • 2+ years experience developing proposal response material
  • Proven Healthcare background (e.g., coding, nursing degree)

  Environment and Cognitive/Physical Demands

  • Office Environment
  • Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
  • Requires prolonged sitting and telephone use
  • Requires the use of office equipment such as computer terminals, telephones, copiers and printers
  • Infrequent lifting to 20 pounds
  • Infrequent stooping

  Segregation of Duties

  Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.

  Statement of Other Duties

  This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.

  Total Rewards Package:

  Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.

  CMS Access Compliance and Regulation Contingency Statement

  Some positions require compliance with (i) federal and agency specific regulations and related clauses included in Noridian's prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card.

  An employee in this position may be required to possess a “Federal Identification Card” (Federal ID) as a condition of employment. Federal ID’s may include one of the following: Personal Identity Verification (PIV) card, Personal Identity Verification-Interoperable (PIV-I) card, a Local-Based Physical Access Card issued by CMS, or a Local-Based Physical Access Card issued by another Federal agency and approved by CMS. Obtaining a Federal ID and continued eligibility for this position may require the successful completion of a Federal Background Investigation performed by the Federal Government and a residency requirement that you have lived in the United States at least three out of the last five years. Failure to obtain a Federal ID may result in the removal from the position or termination of employment.

  Equal Employment Opportunity

  Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities as well as Sexual Orientation or Gender Identity.

  Below is the salary range for potential new hires.

  Salary Range: $25.20 – $41.44

  Other Compensation: Incentive Plan

  Lifestyle Benefit: $50/month

  This job will be closed 01/06/2025 at 8:00AM CST. No further applications will be considered.

  Qualifications

  Education

  Preferred

  Bachelors of Arts

  Bachelors of Arts

  Bachelors of Arts

  Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

  The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

• About the company

  Noridian delivers the most dependable program administration to Center for Medicare & Medicaid Services, State Medicaid and Veterans Administration.

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