Operational Performance & Analytics Manager
hace 2 días
Madrid
ppbFurther Group /b is a fast-growing and dynamic company at the forefront of innovation, leveraging cutting‑edge technology and a deep understanding of the healthcare sector to deliver turnkey solutions for the treatment of serious medical conditions. /p pOur company works with insurers, large employers, and affinity organizations worldwide, to accelerate consumer access to the best treatment choices. As the global leader in our field, we are seeking a highly experienced and dynamic individual to join us as Operational Performance Analytics Manager. /p pThis role is part of Further's transformation towards a more scalable, insight‑driven operating model. The successful candidate will have the opportunity to shape the future operational performance framework of an international healthcare business, building new capabilities in reporting, automation, operational intelligence and performance governance. /p pIn a high‑impact role, you will lead the operational intelligence function within Customer Operations, overseeing claims analytics, SLA and KPI performance, budget and COGS tracking, provider and TPA performance, insurer/reinsurer reporting, and continuous improvement governance. You will manage a small team and work closely with Customer Operations, Finance, Medical Management, Medical Network, Product and senior leadership. /p pWe are looking for someone who is analytical, highly organized, commercially aware and comfortable operating in a specialized healthcare environment. The right person will not only produce reports, but also explain what the data means, what action should be taken, and how impact should be measured. /p h3Key responsibilities /h3 ul liOperational Performance Management Information /li liOwn and continuously improve Customer Operations performance reporting, including claims activity, service volumes, SLA performance, operational productivity, COGS and cost trends. /li liBuild a robust monthly operational performance pack for Customer Operations leadership, ExCo, insurers, reinsurers and internal stakeholders. /li liTranslate operational data into clear insights, conclusions and recommended actions, rather than static reporting. /li liIdentify trends, outliers, bottlenecks and recurring operational issues across claims, case management, providers, TPAs and service delivery. /li liSupport the development of insurer‑grade reporting and business performance narratives. /li liManage the performance governance of service TPAs and operational providers. /li liMonitor TPAs contractual obligations, service levels, fee schedules, invoices, performance trends and service quality. /li liAct as Customer Operations business owner for performance, reporting and operational automation requirements. /li liEnsure dashboards and MI tools are not only technically delivered but operationally adopted and used for management decisions. /li liLead Customer Operations budget tracking, forecasting, CAP plan monitoring and COGS analysis. /li liWork closely with Finance, Insurers and Reinsurers to validate cost allocation, payment flows, claims funds, reconciliations and reporting requirements. /li liProvide monthly visibility on operational cost drivers, cost avoidance, realized savings, risks and forecast deviations. /li liOwn the operational rhythm for Customer Operations KPIs, SLAs, productivity, service quality and continuous improvement actions. /li liSupport the Head of Customer Service in building a more autonomous, accountable and insight‑led management layer. /li liDrive automation initiatives that reduce manual operational work and improve the accuracy, scalability and timeliness of reporting and controls. /li liAnalyse claims experience to identify leakage, overpayment, inefficient pathways, provider variation, drug cost outliers, utilization failures and process inefficiencies. /li liManage and develop a small team responsible for operational reporting, billing, reconciliations and analytics. /li liCoach analysts to move from task execution to insight generation. /li liBuild a high‑performing operational intelligence function that enhances the reputation and impact of Customer Operations. /li /ul h3We’d love to meet someone who /h3 ul li7+ years’ experience in health insurance, IPMI, claims operations, analytics, and operational performance. /li liStrong understanding of healthcare claims, medical claims flows, provider billing, payment accuracy, claims reporting or reimbursement processes. /li liProven experience turning complex operational data into management insights and executive level reporting. /li liExperience managing budgets, forecasts, cost tracking, operational financial controls or COGS. /li liAdvanced Excel skills and strong working knowledge of Power BI or equivalent BI tools. /li liStrong stakeholder management across Operations, Finance, IT, Product and senior leadership. /li liExcellent written and spoken English. /li /ul h3Personal attributes /h3 ul liHighly analytical, but pragmatic. /li liCommercially aware and operationally hands‑on. /li liComfortable with ambiguity, imperfect data and evolving processes. /liliAble to challenge constructively and influence without formal authority. /li liStrong enough to raise standards, but collaborative enough to build trust. /li liCurious about the business, not just the process. /li liComfortable in a lean, growing, international organization where every role has visible impact. /li liMotivated by building a function, not maintaining the status quo. /li /ul h3What we’re offering /h3 pHybrid working model – three days in the office and two days at home. /p pCompetitive compensation package that rewards performance and skills. /p pModern, open‑plan office in a beautiful building in central Madrid, close to transport hubs, with complimentary fruit, tea and coffee. /p pEmployee benefits include Cobee for social benefits and flexible compensation, and Wellhub, a platform designed to support well‑being and promote an active, healthy lifestyle. /p pFurther is a certified “Happy At Work” employer. We earned the “We Impact Index” certification along with a Bronze Medal from Ecovadis, demonstrating our dedication to a positive work environment and impactful ESG practices. /p pWe believe passionately that employing a diverse workforce is central to our success. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital, or disability status. /p /p #J-18808-Ljbffr