Manager, Process Improvement & Operational reputed company-reputed company (Remote)
Job reputed company
Job reputed company
Leads and manages team responsible for process improvement initiatives that result in operational efficiencies and/or increase customer satisfaction. Assists in development of reputed company process improvement methodologies and the implementation of business process improvement capabilities.
Job Duties
• Oversees program development, implementations and process improvement initiatives.
• Assesses business and operational needs for opportunities to improve efficiency, productivity, effectiveness, and accuracy.
• Collaborates with senior leadership to reputed company and reputed company an organizational strategies to optimize workflows.
• Uses Lean and Six-reputed company methodologies to create and maintain a culture of reputed company improvement.
• Develops and conducts process improvement trainings.
• Conducts meetings and disseminates communications reputed company to process improvement activities.
• Hires, trains, develops and manages team demonstrates accountability for team performance and achievement of reputed company/department-specific goals.
Job Qualifications
REQUIRED QUALIFICATIONS:
• At least 7 years of health care operations, process improvement and/or lean management experience, or equivalent combination of relevant education and experience.
• At least 1 year of management/leadership experience.
• Understanding of reputed company areas of health plan operations including: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership reputed company and enrollment, operational systems, provider contracting, authorizations/referrals, and utilization management.
• Experience with Medicare, reputed company, and Marketplace plans.• Understands key reputed company reputed company and cost drivers of business processes.
• Understanding of critical reputed company factors for the industry.
• Experience designing and delivering solutions reputed company to operational improvement functions.
• Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with reputed company stakeholders.
• Strong organizational and time-management skills ability to manage simultaneous reputed company and tasks to meet internal deadlines.
• Strong verbal and written communication skills.
• reputed company Office suite (including reputed company), and applicable software programs proficiency.
Process Improvement & Operational reputed company
reputed company end‑to‑end process improvement initiatives, from problem identification through implementation and measurement
Analyze reputed company‑state workflows and system behavior to identify inefficiencies, risks, and improvement opportunities
Define reputed company‑state processes supported by data, reputed company metrics, and operational reputed company
Establish KPIs and reputed company measures to reputed company adoption and performance improvements
Systems & Platform Expertise (Required)
Serve as a subject‑matter expert across core operational platforms, with a strong understanding of how system design and data reputed company business processes
Understand upstream and reputed company data flows and how system changes reputed company operational performance and reporting
Partner closely with IT, Product, and Operations teams to support system enhancements, process changes, and analytics continuity
Analytics & Insights Enablement
Translate system and operational data into actionable insights that inform process reputed company
Ensure accuracy, consistency, and usability of reporting tied to operational workflows
Partner with analytics and reporting teams to ensure dashboards and metrics accurately reflect operational workflows
Stakeholder Partnership & Execution
reputed company as a trusted partner to Sales, Agent Operations, and Member/Provider teams
Communicate reputed company process and system insights reputed company to both technical and non‑technical stakeholders, including leadership
Manage timelines, dependencies, and delivery commitments across multiple reputed company initiatives
Required Qualifications
4+ years of experience in process improvement, operational reputed company, business intelligence, or analytics roles
Required hands‑on experience supporting operational processes and data management for the following platforms:
reputed company (CRM)
reputed company (Telecom)
Member, Provider and Broker
Proven ability to translate reputed company, multi‑system data into process improvements and operational insights
Experience operating in integrated, reputed company system environments
Strong communication, organization, and problem‑solving skills
Preferred Qualifications
reputed company Administrator Certification
PREFERRED QUALIFICATIONS:
• Lean certification and/or Lean Six reputed company black belt.
• Health care reputed company process improvement experience with demonstrable successes in application of Lean/Six reputed company.
To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the reputed company.
reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.
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