Conduit Health
Strategy & Operations Manager - Insurance
New York City, Remote. Posted 3 months ago
The role
You will own and scale insurance operations including eligibility, benefits, prior authorization, and coverage. You will lead the insurance team and partner with product and engineering to design automated workflows and systems.
What you will do
- Own insurance operations including eligibility, benefits verification, prior authorization, coverage, and denials.
- Manage, coach, and develop the insurance team.
- Design the operational playbook for new states and payers.
- Analyze stalled orders, denials, and rejections to find root causes.
- Partner with product and engineering on the insurance tooling roadmap.
- Define and track KPIs such as eligibility hit rate, auth turnaround, denial rate, and clean-order rate.
- Create and maintain SOPs, documentation, and training.
Required qualifications
- 6+ years in strategy and operations, business operations, or healthcare insurance operations.
- Experience managing and developing a team.
- Track record of building systems and processes in partnership with product and engineering.
- Strong analytical skills.
- Comfort building reports and working with data.
- Experience building SOPs and improving processes in a regulated environment.
- Excellent communication with the ability to align stakeholders across teams.
Nice to have
- SQL
Benefits
- Competitive salary with meaningful equity
- Flexible working environment
- Unlimited PTO
- 9 company holidays
- Direct mentorship and growth opportunities with senior leadership
About the company
Conduit Health is a vertically integrated, AI-powered platform that unites ordering, telehealth, prescriptions, insurance, and fulfillment to deliver medical equipment and supplies to patients' homes.