Process Improvement Lead - Medicaid
About The Position
The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of diverse scope and complexity ranging from moderate to substantial. You will report to a Director of Health Services and have 1-2 direct reports. The Process Improvement Lead researches best business practices within and outside the organization to establish benchmarks for the team. You will review processes, streamline the department, ensuring better collaboration, efficiency and compliance. You will develop new process and practices for the team. Be a point person for the department regarding resources and procedures in areas such as compliance, audits, quality reviews like NCQA. You will also collect and analyze data, identifying gaps and building out process to develop best practices. You will review job aids, be the point person in the new hire onboarding and training processes of the department to ensure the team follows best in class business practices and procedures that focus on enhanced safety, increased productivity and reduced cost. You may advise leadership to develop functional strategies (often segment specific) on matters of significance. Use your skills to make an impact
Requirements
- Bachelor's degree
- 5 or more years of process improvement experience
- 2 or more years of project leadership experience
- Must have 2 or more years of experience in case management and/or utilization management experience
Nice To Haves
- Current RN or MSW license in state of employment
- 2 or more years of Medicaid Experience
- Certification in Lean, Six Sigma, or similar process improvement methodology is preferred.
- Ability to manage multiple initiatives and facilitate change in a matrixed organization.
- Familiarity with Project Management tools and resources
Responsibilities
- Analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements.
- Works on problems of diverse scope and complexity ranging from moderate to substantial.
- Researches best business practices within and outside the organization to establish benchmarks for the team.
- Reviews processes, streamline the department, ensuring better collaboration, efficiency and compliance.
- Develops new process and practices for the team.
- Be a point person for the department regarding resources and procedures in areas such as compliance, audits, quality reviews like NCQA.
- Collects and analyzes data, identifying gaps and building out process to develop best practices.
- Reviews job aids, be the point person in the new hire onboarding and training processes of the department to ensure the team follows best in class business practices and procedures that focus on enhanced safety, increased productivity and reduced cost.
- May advise leadership to develop functional strategies (often segment specific) on matters of significance.
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
- Medical, dental and vision benefits
- Short-term and long-term disability
- Life insurance
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What This Job Offers
Job Type
Full-time
Career Level
Manager
