Softheon builds the infrastructure behind modern health coverage.

For more than 25 years, Softheon has helped health plans operate at scale across the most complex healthcare markets in the country. Our purpose-built SaaS and BPaaS solutions power the full coverage lifecycle, from shopping and enrollment to billing, payments, reconciliation, and ongoing member engagement.

Today, one in three ACA health plans relies on Softheon, and our platform supports tens of millions of enrollments and billions in premium transactions across ACA Marketplaces, Medicaid, Medicare Advantage, and employer-funded models like ICHRA.

What sets Softheon apart is not just technology, but execution. Our modular platform integrates with existing ecosystems, adapts quickly to regulatory change, and reduces administrative burden without sacrificing accuracy, compliance, or member experience. Health plans choose Softheon to modernize operations, control costs, and grow sustainably in highly regulated, margin-sensitive environments.

Trusted by CMS and recognized by organizations including IDC, AHIP, ACAP, and HCEG, Softheon partners with mission-driven organizations working to expand access to affordable, high-quality coverage.

Softheon

Making healthcare more affordable, accessible, and plentiful.

Job Title: Business Operations Manager

Team: Operations

Job Location: Remote

About Us

Join us in revolutionizing healthcare! We build software that simplifies the process of choosing the right health insurance for individuals. Our solutions help our health plan and government customers with the administration, reporting, and operational requirements of their plans. By tackling the complexities of enrollment, administration, renewal, billing, and more, we enable our customers and partners to concentrate on advancing their core missions.

Our Company Culture

Our culture is built on collaboration, innovation, and appreciation. We value each employee's unique talents and contributions and understand that every individual plays a critical role in our mission to transform healthcare. Every day, we celebrate our team's dedication, creativity, and expertise, which drive us closer to our goals.

At Softheon, our mission is making healthcare more affordable, accessible, and plentiful for every American. Our vision is that everyone can access and choose the healthcare they need.

About The Role

We are seeking a highly skilled and experienced Business Operations Manager to join our team. This role involves overseeing and optimizing business processes, driving operational excellence, and supporting strategic initiatives. The ideal candidate will possess strong leadership and analytical skills, a proactive approach to problem-solving, and the ability to work effectively in a dynamic and fast-paced environment.

Please note that the requirements of this role are beyond the 9am - 6pm scope. It is expected that all managers are available to the organization when needed.

Requirements

You Will:

Operational Management & Process Improvement

Oversee day-to-day business operations to ensure smooth and efficient processes across departmentsIdentify, design, and implement process improvements to enhance efficiency, productivity, and quality throughout the organizationEnsure business operations comply with industry regulations and company policies, maintaining high standards of quality and integrity


Strategic Planning & Data-Driven Decision Making

Contribute to the development and execution of strategic plans that support business growth and operational excellenceCollect, analyze, and interpret data to identify trends and insights that inform business decisions and drive operational improvements


Project & Budget Management

Lead and manage project management activities, including planning, execution, and monitoring of projects to ensure timely and successful completionOversee budgeting, forecasting, and financial planning activities for the operations department


Cross-Functional Collaboration & Market Awareness

Work closely with cross-functional teams, including finance, sales, marketing, and product development, to support business operations and align on strategic goalsConduct market research to stay informed about industry trends, the competitive landscape, and emerging technologies relevant to the healthtech sector


Continuous Improvement & Documentation

Lead initiatives that promote continuous improvement and operational excellence within the organizationMaintain detailed documentation of processes, procedures, and analysis to ensure transparency and knowledge sharing within the team


Talent Management

Collaborate with the Talent team to actively engage in the hiring and recruitment process, including but not limited to participating in interviewsLeverage industry networks and expertise to identify and attract top talent that aligns with the company's objectives and valuesProvide guidance and mentorship to team members within your department and across diverse functionsPlay an integral role in shaping and reinforcing the overall company culture, promoting values that enhance teamwork, collaboration, and employee engagement


Additional Responsibilities

Must be available for on-call duty during peak periods, providing support outside of regular working hours as needed to ensure the timely resolution of critical issuesAvailability to work occasional weekends and overnight hours as neededAlthough we work in a remote-first environment, all roles require in-person attendance at our headquarters approximately 2 times per year (in addition to other travel requirements for this specific role, if applicable). These visits are essential for team collaboration, strategic planning, and fostering deeper connections across the organization. Travel arrangements will be supported to ensure a seamless experienceMust reside in the Eastern or Central time zone. Eastern Time working hours requiredTravel up to 5% required

You Have

Education

Bachelor's degree in Business Administration, Healthcare Management, Information Technology, or a related field. Degree in STEM is strongly preferredA Master's degree is preferred


Experience

5-7 years of experience in business operations, project management, or a related role within the healthcare or technology sectors, with at least 2 years in a managerial positionExperience within a STEM field is requiredExcel experience required. Some SQL experience preferred


Certifications

Must complete Six Sigma Green Belt Certification within 6 months of hire, if not already certified


Knowledge

In-depth understanding of healthcare industry standards and regulationsExperience working within the healthcare or technology industry required


Skills

Strong analytical and problem-solving skillsProficiency in data analysis tools and software (e.g., Excel, SQL, Tableau)Excellent communication and interpersonal skillsAbility to manage multiple tasks and prioritize effectively in a fast-paced environmentAttention to detail and a proactive approach to identifying and solving problems


Attributes

Client-focused with a strategic and proactive approach to operationsStrong organizational skills and attention to detailAbility to work independently and as part of a teamEagerness to learn and adapt in a rapidly changing environment


Benefits

What We Offer

Softheon offers every full-time employee a comprehensive compensation and benefits package including:

For this position we offer a base pay of $90,000-$110,000, plus equity (when applicable), variable/incentive compensation, and benefits. Please note that the base pay shown is a guideline, and individual total compensation will vary based on factors such as candidate location, qualifications, skill level, and competenciesWork from your home company with a one-time home office stipendComprehensive benefits package that includes health, vision and dental coverage for you, your spouse and dependentsAdditional benefits, including a monthly wellness stipend and internet stipend, 401K w/ a match; immediately vested, employee assistance program, disability/life insurance, and parental leave15 days to discretionary PTO based on YOS9 additional paid holidaysReferral bonuses, discretionary bonus program, spot bonuses and professional development opportunitiesPlease note that candidates applying for this position must reside within the United States

Eligibility to Work in the U.S.: We are unable to sponsor or assist with visa-related processes. Candidates must have valid work authorization to work in the U.S. without any current or future need for employer sponsorship.

Join Softheon, and together, we'll shape the future of healthcare in America.

Are you ready to make a difference? Join us at Softheon and help revolutionize healthcare for all.

At Softheon, we embrace and celebrate diversity in all its forms as an equal opportunity employer. We strongly believe that employing a diverse workforce is key to our success. Our recruitment and hiring decisions are made solely on the basis of each candidate's qualifications, experience, and skills. We highly appreciate your dedication to our shared mission of making healthcare more affordable, accessible, and plentiful. Join us in our journey towards continually building a diverse and inclusive workplace, where everyone's contributions are valued, respected, and celebrated.

Employment with Softheon is at-will, which means either the employee or Softheon may terminate the employment relationship at any time, with or without cause, and with or without notice. Nothing in this job description or in any document or statement shall be construed to constitute a guarantee of employment for a specified period of time.