Sr. Manager, Quality Audit

About UST HealthProof:

• UST HealthProof is a fast-paced, growing company focused on reshaping healthcare insurance through modern, cloud-based core administration ecosystems.
• The company is led by experienced health plan and technology leaders who promote a start-up mindset and an environment of support where individual growth is nurtured.

Key Responsibilities:

• Plan, develop, organize, direct, and evaluate all aspects of onshore and offshore BPaaS activities, serving alongside multiple stakeholders to deliver customer success.
• Establish operational objectives, policies, and procedures ensuring compliance with customer contracts and laws, and develop strategies to achieve key performance measures.
• Provide executive-level briefings to senior leadership at regular intervals and establish strong, collaborative relationships with client leadership.

What You Bring:

• Bachelor’s Degree in Business, Health Services Administration, or related field, with a minimum of 8 years of progressive management experience in health plan operations.
• Strong understanding of claims processing and 5-7 years of Medicare Advantage experience preferred, along with experience managing employees.
• Excellent communication skills and the ability to engage with leaders across the organization.

Work Environment:

• This is a remote, US-based position with occasional travel dependent on company needs.
• The role may require working across multiple time zones in a hybrid or remote environment, with long periods of sitting or standing in front of a computer using video technology.