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Commercial Operations Manager

Centivo


Job Location:

Buffalo, IA - USA

Yearly Salary: USD 110000 - 120000
Posted: 16 September 2026 (16 hours ago)
Application Deadline: 14 December 2026
Vacancies: 1 Vacancy

Department:

Sales

Job Summary

We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable high-quality healthcare to the millions who struggle to pay their healthcare bills.

The Commercial Operations Manager is an individual contributor responsible for leading cross-functional initiatives across Centivos Commercial organization from discovery through implementation and adoption.

This role combines project management business analysis process improvement implementation and change enablement. The Commercial Operations Manager will independently structure and drive complex initiatives working across Sales Client Success Implementation Marketing Underwriting Finance Legal Product Operations Technology and other cross-functional partners.

This role is expected to both manage the work and do the work. A successful candidate will be comfortable entering ambiguous situations identifying what needs to be accomplished gathering and documenting requirements creating process maps and project plans developing operational processes coordinating testing and implementation and creating and delivering training when needed.

Key Responsibilities

Project & Cross-Functional Initiative Management

  • Lead multiple cross-functional Commercial initiatives from initial discovery through implementation stabilization and closeout.

  • Develop and maintain comprehensive project plans in Smartsheet including milestones deliverables owners dependencies timelines and critical paths.

  • Establish appropriate project governance meeting cadences working sessions and status reporting.

  • Proactively identify and manage risks issues dependencies decisions and blockers.

  • Maintain RAID logs decision logs action items and other project management artifacts as appropriate.

  • Hold stakeholders accountable for deliverables and escalate risks or missed commitments when necessary.

  • Provide clear concise project status reporting that communicates progress upcoming milestones risks dependencies and decisions needed.

  • Coordinate work across business and technical teams to ensure initiatives remain aligned and progress toward defined outcomes.

Business Analysis & Requirements

  • Serve as the Business Analyst for assigned initiatives without reliance on a separate BA resource.

  • Lead stakeholder interviews discovery sessions requirements workshops and process reviews.

  • Translate business problems and stakeholder needs into clearly documented business and functional requirements.

  • Identify gaps dependencies exceptions business rules and downstream impacts.

  • Define and document acceptance criteria and expected business outcomes.

  • Partner with business stakeholders and technical teams to ensure proposed solutions address the underlying business need.

  • Facilitate decision-making when stakeholders have conflicting requirements or processes are not clearly defined.

Process Design & Improvement

  • Document current-state and future-state business processes using Microsoft Visio or similar process-mapping tools.

  • Analyze workflows to identify inefficiencies unclear ownership unnecessary handoffs operational risks and opportunities for automation or standardization.

  • Facilitate future-state process-design sessions with cross-functional stakeholders.

  • Define roles responsibilities handoffs decision points business rules and service-level expectations.

  • Develop RACI matrices and other ownership frameworks when appropriate.

  • Ensure new processes are scalable clearly documented and operationally sustainable.

Testing Implementation & Operational Readiness

  • Develop implementation and operational-readiness plans for assigned initiatives.

  • Partner with business and technical stakeholders to define testing strategies scenarios expected results and acceptance criteria.

  • Create and maintain UAT plans testing trackers issue logs and readiness checklists.

  • Coordinate testing activities and ensure identified issues are documented assigned resolved and retested as necessary.

  • Validate that business process system documentation and training requirements are complete before launch.

  • Coordinate implementation activities and provide post-launch support through stabilization.

Documentation Training & Change Enablement

  • Personally create the operational artifacts required to successfully implement and sustain assigned initiatives.

  • Develop SOPs process documentation playbooks job aids reference guides FAQs presentations and other supporting materials.

  • Assess the impact of process or system changes on Commercial teams and determine appropriate communication and training needs.

  • Develop training materials and conduct training sessions when required.

  • Coordinate stakeholder communications related to process changes and implementations.

  • Ensure final documentation is complete accessible appropriately maintained and reflects the implemented process.

Commercial Operations

  • Partner with the Director of Revenue Operations to execute Commercial priorities and improve the effectiveness and scalability of Centivos Commercial operating model.

  • Support continuous improvement across Sales Client Success Implementation and other Commercial functions.

  • Identify recurring operational gaps and recommend improvements to processes systems governance and documentation.

  • Partner closely with Salesforce and other system owners to translate business needs into requirements while maintaining clear ownership between business process design and technical solution development.

  • Help establish consistent standards for project execution process documentation testing implementation and operational readiness across the Commercial organization.

Qualifications

  • 5 years of experience in commercial operations business operations project management business analysis or process improvement.

  • 5 years of experience in healthcare health benefits insurance TPA or other complex regulated-industry experience.

  • Demonstrated experience independently leading complex cross-functional initiatives including requirements gathering stakeholder discovery and workflow analysis.

  • Experience building current- and future-state process maps detailed project plans and RAID/decision logs with a track record of managing dependencies risks and decisions to resolution.

  • Experience coordinating UAT and implementation readiness and developing SOPs training materials job aids or similar operational documentation.

  • Comfortable facilitating meetings workshops and process-design sessions across functions and organizational levels.

  • Strong written and verbal communication skills sound judgment and the ability to operate independently in ambiguous environments while managing multiple initiatives at once.

Tools & Technical Skills

  • Smartsheet or comparable project/work-management platforms

  • Microsoft Visio or comparable process-mapping tools

  • Salesforce or another enterprise CRM

  • Microsoft Office Teams and SharePoint

  • Business requirements and process documentation methodologies

  • UAT/test planning and issue tracking

  • Claude/AI

Preferred Qualifications

  • Formal training or certification in project management (e.g. PMP) process improvement (e.g. Lean Six Sigma) Agile or related methodologies.

  • Experience supporting Sales Client Success Revenue Operations Commercial Operations or other customer-facing business functions.

  • Experience working in a highly cross-functional environment involving business operational and technical teams.

  • Experience supporting CRM workflow automation contract-management or other Commercial technology implementations.

Centivo Values

  • We are resilient. This is wicked hard. There is no easy button for healthcare affordability. Luckily the mission makes it worth it and sustains us when things are tough. Being resilient ensures we dont give up.

  • We are uncommon. The status quo stinks so we had to go out and build something better. We know the healthcare system. It isnt working for members employers and providers. So were building it from scratch from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon.

  • We are positive. We care about each other. It takes energy to do hard stuff build something better and to be resilient and uncommon while doing it. Because of that we make sure we give kudos freely and feedback with care. When our tank gets low a team member is there to be a source of new energy. We celebrate together. We are supportive generous humble and positive.

Who we are:

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual) predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information visit .

Headquartered in Buffalo NY with offices in New York City and Buffalo Centivo is backed by leading healthcare and technology investors including a recent round of investment from Morgan Health a business unit of JPMorgan Chase & Co.


Required Experience:

Manager


About Company

Company Logo

Primary-care-centered self-funded health plans for employers of 50–3,000. Save ~15-30% vs. fully-insured. Serving WI, TX, FL, NY, WA, CT, PA, NC and more.

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