Business Lead

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Business Lead based in United States.

This role offers the opportunity to drive business transformation and modernization initiatives within a large-scale healthcare operations environment. The Business Lead will act as a critical connection point between operational stakeholders and technical delivery teams, ensuring business needs are translated into effective solutions. This position focuses on improving processes, developing automation strategies, and supporting data-driven decision-making through innovative technology initiatives. You will lead requirements gathering, define business rules, and support projects designed to enhance operational efficiency and service delivery. The ideal candidate will bring strong business analysis skills, healthcare operations experience, and the ability to manage complex stakeholder relationships. This remote opportunity allows you to contribute to meaningful modernization efforts while collaborating with multidisciplinary teams supporting public-sector programs.

Accountabilities:: The Business Lead will be responsible for guiding business modernization efforts, improving operational processes, and ensuring successful collaboration between business teams and technical delivery groups.

Serve as the primary liaison between operational stakeholders and technical teams across areas including intake, applications, claims, appeals, care coordination, benefits coordination, pharmacy, and clinical review operations.

Facilitate stakeholder workshops and requirements-gathering sessions, documenting discussions, decisions, and action items to support successful project execution.

Develop business requirements, process documentation, workflows, use cases, and functional specifications to translate operational needs into technical solutions.

Create and implement business rules that improve automation, reduce manual processes, and increase operational efficiency.

Support data integration initiatives by helping define requirements for data extraction, system ingestion, reporting capabilities, and business decision-making.

Lead business and workforce optimization planning activities, including recommendations for improving operational performance.

Provide project management support for modernization initiatives, including coordinating project plans, tracking milestones, and supporting delivery teams.

Collaborate with data engineers, analysts, and technical teams to ensure solutions align with business objectives.

Monitor project progress, scope, schedules, budgets, risks, and issues while contributing to status reporting activities.

Support transformation efforts by identifying opportunities for process improvements and technology-enabled efficiencies.

Requirements:

The ideal candidate will have experience leading business delivery initiatives, managing complex projects, and supporting healthcare or government modernization programs.

Bachelor’s degree in a related field.

Minimum of 4 years of experience managing projects or leading business delivery initiatives for a large organization, government agency, or healthcare environment.

Experience facilitating stakeholder discussions and developing business requirements, business rules, process flows, and functional documentation.

Experience supporting data, automation, systems modernization, or digital transformation initiatives.

Background working with healthcare operations such as claims, eligibility, applications, or related service delivery processes is preferred.

Experience supporting complex federal government programs and client relationships.

Project Management Professional (PMP) certification or similar project management credential preferred.

Strong analytical, critical thinking, and problem-solving skills.

Ability to manage multiple priorities, competing deadlines, and complex projects in a fast-paced environment.

Strong communication skills with the ability to clearly present ideas, solutions, and recommendations both verbally and in writing.

Ability to quickly understand complex business challenges and translate them into actionable solutions.

Ability to build effective relationships with stakeholders, technical teams, and leadership.

Ability to obtain and maintain a public trust clearance.

Legal authorization to work in the United States.

Benefits:

Remote work flexibility with occasional travel for client engagements.

Opportunity to support impactful modernization initiatives within a large-scale healthcare program.

Collaborative environment working with business leaders, technical teams, analysts, and project stakeholders.

Professional growth opportunities through involvement in complex transformation projects.

Competitive compensation package based on experience and qualifications.

Opportunity to contribute to automation, data integration, and operational improvement initiatives.

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.     #LI-CL1