Operations

The role

This person will design and optimize core workflows for insurance processes like eligibility checks and prior authorizations. They will lead insurance specialists and partner with engineering to automate workflows using AI.

What you will do

• Design and optimize core workflows for eligibility checks, benefit verifications, and prior authorizations
• Work with engineering to identify automation opportunities and apply AI-first solutions
• Create SOPs for the operations team
• Configure rules and frameworks for automatic and manual tasks
• Lead the team of insurance specialists
• Partner with engineering to design scalable systems
• Collaborate with product, engineering, and sales teams
• Build tracking systems for operational performance
• Analyze data to develop strategies for achieving team OKRs
• Identify areas for improvement and drive execution of solutions

Required qualifications

• 1-4+ years of experience in operations, consulting, or related fields
• Demonstrated ability to drive outcomes in complex and ambiguous environments
• Strong experience creating processes that scale with growing organizations
• Project management skills with a track record of leading initiatives from concept to execution
• Data-driven approach with ability to analyze workflows and identify inefficiencies
• Self-starter who thrives in ambiguity
• Systems thinker
• Collaborative
• Detail-oriented
• Solution-oriented
• Mission-driven

Nice to have

• experience with insurance workflows or healthcare operations

Benefits

• Competitive compensation package including equity
• 401k
• Unlimited PTO

About the company

Silna Health attacks the root cause of denied claims by fixing fragmented systems for prior authorizations, eligibility verification, and benefit checks. They are backed by Accel and Bain Capital Ventures.