Mgr, Product Planning & Ops Analytics

Why This Role Matters

The Manager, Product Planning & Operations Analytics is a senior individual contributor responsible for leading complex, enterprise-wide initiatives that align business strategy, product planning, operations, analytics, and technology innovation. Acting as a trusted advisor to executive leadership, the role translates strategic priorities into actionable programs, roadmaps, and operational improvements, leveraging data, AI, automation, and predictive analytics to drive business performance, customer outcomes, and informed decision-making.

This position partners across the organization to support strategic planning, portfolio management, operational transformation, and technology modernization efforts. The individual leads cross-functional and matrixed teams, manages high-impact programs, and bridges business, operational, analytical, and technology functions to deliver scalable, data-driven solutions. The role requires strong expertise in analytics, reporting, complex data systems, and emerging technologies, along with the ability to influence strategic direction, resource allocation, and operational performance.

Focused on advancing healthcare payment integrity and claims optimization solutions, the incumbent supports initiatives related to Claims Intelligence Solutions, Surprise Bill Solutions, reimbursement, dispute resolution, and operational efficiency. Through collaboration with executives, clients, providers, vendors, and technology partners, the role drives innovation, process improvement, and AI-enabled capabilities that enhance scalability, competitive differentiation, customer value, and financial outcomes.

What You'll Do

• Lead enterprise-wide programs, strategic initiatives, and product planning efforts from concept through implementation, ensuring successful delivery within scope, schedule, budget, and quality objectives.

• Partner with executive leadership to define strategic priorities, develop roadmaps, establish governance frameworks, and oversee portfolio execution aligned with organizational goals.

• Direct and coordinate cross-functional teams across Operations, Analytics, Product, Technology, Finance, Legal, Sales, and Account Management to drive execution and accountability.

• Develop and maintain program plans, business cases, financial analyses, dashboards, KPIs, executive reports, and presentations to support informed decision-making.

• Lead requirements gathering, business analysis, and solution design for complex operational, technology, reporting, automation, and AI-enabled initiatives.

• Analyze operational, financial, customer, and performance data to identify risks, opportunities, process improvements, and business growth strategies.

• Design and implement scalable business processes, reporting solutions, governance controls, self-service analytics, and automation capabilities that improve efficiency and business performance.

• Manage program budgets, resources, vendors, risks, dependencies, change requests, and escalations to ensure delivery success across multiple concurrent initiatives.

• Serve as a subject matter expert in project and operations management by establishing best practices, facilitating executive governance forums, and mentoring team members.

• Drive enterprise alignment through stakeholder engagement, strategic communications, data governance, compliance oversight, and cross-functional collaboration, including adherence to HIPAA and organizational standards.

What You Will Bring

Required Qualifications

• Minimum Bachelor's degree in Business Administration, Project Management, Operations, Finance, Analytics, Information Technology, Healthcare Administration, or a related field, or high school diploma and four years of related experience.
• Minimum ten years of progressive experience in project, program, portfolio, strategic planning, operations, analytics, business intelligence, or related work, including leadership of complex cross-functional initiatives.
• Demonstrated success delivering enterprise programs, building governance and performance frameworks, managing executive stakeholders, and producing measurable operational, financial, or client outcomes.
• Strong knowledge of project and program management, strategic planning, business analysis, process improvement, requirements management, financial analysis, reporting, and change management practices.
• Experience analyzing and integrating data from multiple sources and translating results into business insights, executive communications, self-service reporting, operational improvement recommendations, strategic initiatives, and business transformation opportunities.
• Demonstrated ability to understand, support, and optimize complex operational, reporting, workflow, database, and data-management systems while ensuring data integrity, reporting accuracy, scalability, and alignment with business objectives
• Experience supporting enterprise roadmap development, portfolio planning, operational transformation initiatives, and cross-functional business and technology programs.
• Exceptional strategic thinking, analytical, problem-solving, organization, prioritization, facilitation, negotiation, presentation, and written and verbal communication skills.
• Ability to lead matrixed teams, influence without direct authority, manage multiple complex priorities, exercise discretion with sensitive information, and make sound decisions using incomplete or ambiguous data.
• Proficiency with project management, reporting, analytics, database, collaboration, and Microsoft Office tools used to perform job responsibilities.
• Required licensures, professional certifications, and/or Board certifications as applicable.
• Ability to travel as business needs require.
• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.

Preferred Qualifications

• Experience identifying opportunities to leverage automation, artificial intelligence (AI), machine learning, predictive analytics, and advanced reporting capabilities to improve decision-making, operational efficiency, customer experience, and business performance.
• Healthcare, managed care, provider network, claims, out-of-network solutions, healthcare economics, reporting, or business intelligence experience.
• PMP, PgMP, Lean Six Sigma, CBAP, or other relevant certifications.
• Graduate degree.

Compensation

The salary range for this position is $100-110K. Actual compensation is based on experience, skills, education, work location, and internal equity. This position may also be eligible for incentive compensation and the comprehensive benefits outlined in the My Total Value section.

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Why Claritev?

Healthcare is complex. We help make it clearer.

At Claritev, you'll do work that matters. Together, we're helping make healthcare more transparent and affordable for all through the power of data, technology, and expertise. We offer meaningful opportunities to grow your career, collaborate with talented colleagues, and make an impact on the clients and communities we serve. If you're looking for purpose, growth, and a team that succeeds together, you'll find it here.

What Guides Us

At Claritev, innovation, agility, and a focus on results drive our success. We embrace bold thinking, work as one team, take ownership, and strive for excellence in everything we do - creating meaningful impact for our clients, communities, and each other.