Hiring: Health Plan Operations Manager Company: American Health Partners Location: Ashland, KY Job Posted Time: 2026-09-15 13:33:49 Employment Type: Full-time Target Skills & Keywords : Medicaid, Medicare About the job Experience: •3+ years of experience in health care / managed care organization with demonstrated track record of increasing responsibility and accountability to include leading and facilitating teams. •5+ years in the health care industry with experience in Medicare, Medicaid Managed Care, Health Insurance or Nursing home industry. Required Skills: •Implements and executes the Participating SNF Engagement strategy; establishes strong, collaborative relationships with partner facilities in support of health plan goals. •Lead and oversee working cross-organizationally with local health plan team, Network, Market Medical Director and Marketing as needed. •Lead and oversee achieving facility-level engagement goals. •Actively collaborates with all health-plan functions (Product, Sales, Marketing, Member Experience, Finance, Network, Clinical, Quality, Operations and Local Care Delivery and Care Management). •Cultivates and sustains effective facility-level relationships built on mutual benefit, implementing solutions which position facilities for success executing plan’s Model of Care, reducing the total cost of care and improving the health and healthcare experience of members. •Communicates key performance indicators to participating facilities. •Identifies challenges and barriers that may prevent facilities from meeting desired outcomes and facilitates results-driven solutions. •Manages cross-functional communication, activities and events related to facility implementation projects to deliver products on schedule, within budget and with superior quality. Ensures the appropriate cross-functional resources are involved at all phases of facility implementation. Qualifications: •Demonstrated success building relationships with external executives and stakeholders; possesses a strong ability to persuade. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!