Role Characteristics
- Adaptability: Involves frequent adjustments to priorities, workflows, and expectations.
- Evolving Environment: Processes may be manual, incomplete, or evolving.
- Performance Metrics: Success is measured by accuracy, adaptability, documentation quality, risk identification, and productivity. Output expectations are evaluated in context based on the complexity and scope of assigned work.
- Performance Standards: Sustained output significantly below peer benchmarks, without justification related to assignment complexity or scope, may be addressed through standard performance management processes.
- Fluid Focus: This role is not tied to a single program or queue and may shift focus regularly.
- Career Path: Designed for specialists who are comfortable operating outside of fixed workflows and may not follow a traditional, linear progression path within Operations.
Key Responsibilities:
Strategic & Pilot Support
- Execute manual workflows and program processes that are not yet automated or standardized.
- Support the launch of new business initiatives by operationalizing early-stage processes.
- Adapt to frequent changes in program scope, requirements, and workflows.
- Maintain detailed documentation of evolving processes, requirements, and learnings.
- Partner across multiple lines of business to support member needs, health plan requirements, and external business/provider relationships.
Operational Execution
- Perform periods of focused, detail-oriented manual data entry and workflow execution while maintaining accuracy and consistency.
- Track and reconcile referral data, eligibility criteria, and outreach requirements across multiple sources.
- Identify gaps, risks, or inefficiencies in workflows and escalate findings to leadership.
- Ensure all work meets compliance, documentation, and reporting standards.
Feedback & Process Development
- Provide structured feedback to Operations leadership that informs Product, BI, and Telecom teams on opportunities for automation, risk mitigation, and scalability.
- Partner with leadership to help define standard operating criteria before processes are formalized.
- Contribute to Standard Operating Procedure (SOP) development once workflows stabilize.
Minimum Requirements:
- Prior experience in a Papa operational role (ME II, QI, or equivalent strongly preferred).
- Exceptional attention to detail and the ability to manage complex manual workflows.
- Proven ability to adapt to ambiguous or changing environments.
- Strong written communication and documentation skills.
- Proficiency in navigating multiple digital systems and data sources simultaneously.
- Ability to operate independently and exercise sound judgment.
- Bilingual skills (Spanish or Haitian Creole) strongly preferred.
- Sales Background strongly preferred.
Remote Work Requirements:
- Ability to maintain a reliable, high-speed, hardwired (Ethernet) internet connection.
- Access to a secure workspace during scheduled working hours that ensures data privacy and allows for focused, uninterrupted work.