Job description

Location: Philadelphia, PA - Remote - Candidates must be local and available to work onsite as needed. Position Overview We are seeking an experienced healthcare insurance operations professional to support the implementation, launch, and stabilization of a new, high-visibility health insurance product. This individual will serve as the primary operational point of contact, ensuring customer service, claims, enrollment, and supporting teams are prepared for launch and operating effectively afterward. The ideal candidate has extensive experience in self-funded medical insurance operations, strong cross-functional coordination skills, and the ability to proactively identify operational gaps, resolve issues, improve processes, and provide clear updates to leadership. Key Responsibilities • Oversee day-to-day operational readiness and post-launch activities across customer service, claims, enrollment, and supporting teams. • Monitor customer interactions, call recordings, transcripts, claims, and enrollment activity to identify process gaps, misinformation, and service risks. • Serve as the primary operational contact for questions, issue resolution, and escalations. • Establish and maintain issue tracking, escalation procedures, quality controls, and corrective action processes. • Partner with project management, operational leaders, and cross-functional teams to resolve issues and ensure operational alignment. • Support employee training, product readiness, job aids, and communication materials. • Track operational performance, identify emerging trends, and provide concise status reports to leadership. • Recommend process improvements and establish sustainable operational controls following product launch. Required Qualifications • 7+ years of experience in healthcare insurance operations, preferably within self-funded medical insurance. • Strong understanding of health plan customer service, claims processing, enrollment, and benefits administration. • Experience supporting new product implementations, operational readiness, post-launch stabilization, or quality assurance. • Demonstrated ability to identify operational issues, coordinate resolutions, and manage escalations across multiple departments. • Experience with operational monitoring, quality reviews, process improvement, and issue tracking. • Excellent communication, organization, problem-solving, and stakeholder management skills. • Ability to work independently in a fast-paced, high-visibility environment. Preferred Qualifications • Experience with self-funded health plans, third-party administrators (TPAs), or health insurance carriers. • Background in healthcare product launches, implementation management, or operational transformation. • Experience developing training materials, operational playbooks, reporting, and executive-level updates. • Familiarity with healthcare regulatory requirements and health plan administration. Expected Deliverables • Operational readiness and post-launch oversight plan. • Issue tracking, escalation, and resolution processes. • Operational quality monitoring and reporting. • Training support and process documentation. • Sustainable controls and transition plan for ongoing operations. Apply for this job Copy to Clipboard Copy Link Let's Succeed Together: Welcome to IntePros, a certified woman-owned company specializing in innovative and results-oriented recruiting and staffing solutions. We take immense pride in genuinely understanding what drives and inspires exceptional individuals like you. Your success is our priority, and we are dedicated to actively shaping your long-term career journey. At IntePros, we believe in comprehensive well-being. You have access to our medical, dental, vision, and mental health programs, ensuring your health and wellness are taken care of. To support your continuous growth, we also provide a $1,500 per year education and professional certification fund. Diversity and inclusion are cornerstones of our company ethos. IntePros is proud to be an equal opportunity employer. We do not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, sexual orientation, disability, age, veteran or military status, retaliation, or any other characteristic protected by law. We celebrate the rich tapestry of backgrounds and perspectives that make us stronger as a team. Please note that only qualified individuals being considered will be contacted. We appreciate your interest and look forward to potentially embarking on a transformative journey together. Operational Excellence Engineer New Posted This Week Program Manager, Trade Enablement New Posted This Week Lead Business Analyst - Healthcare Operations New Posted This Week Sr Engineer as400 Developer New Posted This Week Senior Information Security Analyst New Posted This Week Cybersecurity Risk Analyst III New Posted This Week Cybersecurity Risk Analyst III New Posted This Week Operational Excellence Engineer New Posted This Week Project Coordinator- Medical Device/Supply Chain New Posted This Week Senior Regulatory Affairs Specialist New Posted This Week 1 2 3 4 5 6 7 8 > >> Page of 17 Loading Home

Requirements

Must-haves

Location: Philadelphia, PA - Remote - Candidates must be local and available to work onsite as needed.
Position Overview
Oversee day-to-day operational readiness and post-launch activities across customer service, claims, enrollment, and supporting teams.
Monitor customer interactions, call recordings, transcripts, claims, and enrollment activity to identify process gaps, misinformation, and service risks.
Serve as the primary operational contact for questions, issue resolution, and escalations.
Establish and maintain issue tracking, escalation procedures, quality controls, and corrective action processes.
Partner with project management, operational leaders, and cross-functional teams to resolve issues and ensure operational alignment.
Support employee training, product readiness, job aids, and communication materials.
Track operational performance, identify emerging trends, and provide concise status reports to leadership.
Recommend process improvements and establish sustainable operational controls following product launch.
Strong understanding of health plan customer service, claims processing, enrollment, and benefits administration.
Experience supporting new product implementations, operational readiness, post-launch stabilization, or quality assurance.
Demonstrated ability to identify operational issues, coordinate resolutions, and manage escalations across multiple departments.

Nice-to-haves

Background in healthcare product launches, implementation management, or operational transformation.
Experience developing training materials, operational playbooks, reporting, and executive-level updates.
Familiarity with healthcare regulatory requirements and health plan administration.
Expected Deliverables
Operational readiness and post-launch oversight plan.
Issue tracking, escalation, and resolution processes.
Operational quality monitoring and reporting.
Training support and process documentation.
Sustainable controls and transition plan for ongoing operations.
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Benefits

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Health Insurance

Dental

Vision

Wellness