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Full-time or part-time position

Senior Manager, Workforce Planning – Coverage Review Operations & Payer Solutions job near me in United States, Other / Non-US at Jobgether | Jobs and Employment

Senior Manager, Workforce Planning Coverage Review Operations & Payer Solutions

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Manager, Workforce Planning – Coverage Review Operations & Payer Solutions in United States.

This role is responsible for leading enterprise-wide workforce planning strategies across large, complex operations that support healthcare coverage review and payer services. You will transform demand signals into actionable staffing and capacity plans that ensure service level performance, cost efficiency, and operational excellence. The position requires strong analytical leadership to balance forecasting accuracy, staffing optimization, and evolving business needs in a highly regulated environment. You will collaborate across operations, finance, analytics, technology, and external partners to align workforce strategies with organizational goals. In addition, you will lead and develop workforce planning teams while driving continuous improvement in tools, models, and planning processes. This is a highly strategic role where your insights directly shape operational performance and customer experience at scale.

Accountabilities

In this role, you will be responsible for leading long-range workforce planning strategy and execution across complex, multi-site healthcare operations.

Lead long-range workforce planning for Coverage Review Operations and Payer Solutions, ensuring alignment with service, cost, and performance targets
Translate demand forecasts into actionable staffing, scheduling, and capacity plans across blended operational environments
Oversee forecasting models, volume projections, and performance analysis to proactively identify and mitigate operational risks
Partner with cross-functional teams including Operations, Finance, Analytics, Technology, and external service providers to align workforce strategies
Deliver data-driven insights and recommendations to senior leadership regarding staffing trade-offs and operational performance
Lead, coach, and develop workforce planning teams, fostering capability building and continuous improvement
Drive enhancements to workforce planning tools, models, and processes, including automation and advanced analytics adoption
Anticipate and plan for changes in demand due to seasonality, growth, regulatory shifts, or transformation initiatives

Requirements

The ideal candidate brings strong workforce planning expertise, leadership experience, and the ability to translate complex data into strategic operational decisions.

7+ years of experience in workforce management or workforce planning within contact center or back-office operations
5+ years of leadership experience managing teams, including coaching, development, and cross-functional collaboration
Strong expertise in long-range forecasting, scheduling, short-term planning, and real-time workforce management
Experience supporting large-scale, multi-site, or global operations, including offshore or third-party service providers
Strong analytical skills with the ability to interpret complex datasets and generate actionable insights
Proven ability to influence senior stakeholders and communicate effectively across business functions
Experience leading workforce planning transformation, automation, or process optimization initiatives
Bachelor’s degree in business, analytics, operations, or a related field preferred
Experience in healthcare, insurance, or regulated industries strongly preferred
Familiarity with workforce management tools such as Verint or NICE IEX is a plus
Willingness to travel as needed and work across distributed teams and time zones

Benefits

Annual salary range: $104,400 – $174,000 depending on experience and location
Eligibility for annual bonus plan
Comprehensive health coverage including medical, dental, and vision starting day one
Behavioral health and well-being programs to support overall wellness
401(k) retirement savings plan
Company-paid life insurance and disability coverage
Tuition reimbursement and professional development support
Minimum of 18 days of paid time off plus paid holidays
Flexible work-from-home arrangement (requires minimum broadband connection standards)
Inclusive, mission-driven environment focused on improving health outcomes

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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Senior Manager, Workforce Planning – Coverage Review Operations & Payer Solutions in United States at Jobgether

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