Manager, Process Improvement & Operational Excellence (Remote)

Molina Healthcare•Long Beach, CA

17h•Remote

About The Position

Leads and manages a team responsible for process improvement initiatives that result in operational efficiencies and/or increase customer satisfaction. Assists in the development of enterprise process improvement methodologies and the implementation of business process improvement capabilities.

Requirements

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 all areas of health plan operations including: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, and utilization management.
Experience with Medicare, Medicaid, and Marketplace plans.
Understands key revenue levers and cost drivers of business processes.
Understanding of critical success factors for the industry.
Experience designing and delivering solutions related to operational improvement functions.
Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
Strong organizational and time-management skills ability to manage simultaneous projects and tasks to meet internal deadlines.
Strong verbal and written communication skills.
Microsoft Office suite (including Excel), and applicable software programs proficiency.
Direct, hands-on experience supporting operational processes and data governance across: Salesforce (CRM), Genesys or similar telephony/contact-center platforms, Member & Provider portals (e.g., Glassbox, Availity), Agent/Broker Management portals.
Strong understanding of cross-system data flows and how changes in one platform affect downstream operations and reporting.

Nice To Haves

Lean certification and/or Lean Six Sigma black belt.
Health care related process improvement experience with demonstrable successes in application of Lean/Six Sigma.

Responsibilities

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 develop and deploy organizational strategies to optimize workflows.
Uses Lean and Six-Sigma methodologies to create and maintain a culture of continuous improvement.
Develops and conducts process improvement trainings.
Conducts meetings and disseminates communications related to process improvement activities.
Hires, trains, develops and manages team demonstrates accountability for team performance and achievement of quality/department-specific goals.