Senior Business Process Redesign Consultant - SCAN Temp

SCAN Health Insurance • Long Beach, CA

8d • $51 - $74 • Remote

About The Position

The Senior Business Process Redesign Consultant - SCAN Temp will play a critical role in supporting the successful re-design of the Claims, Enrollment, Provider Data and Print & Fulfillment business processes. This position is responsible for analyzing, and redesigning business processes to ensure seamless integration with the new core platform. The ideal candidate will collaborate with cross-functional teams to define ideal state, document current and future state workflows, drive change management and manage the health of the project throughout the migration lifecycle. This position will report to the Director of Operational Excellence.

Requirements

• Bachelor's Degree or equivalent experience in Healthcare Administration, Business, Public Health, or a related field is required.
• 7+ years of experience in health plan operations, process improvement, process redesign, or management consulting roles, with demonstrated success in leading cross functional initiatives.
• Leadership: Lead and inspire teams to achieve goals and drive organizational success.
• Decision Making and Problem Solving: Effective decision-making and problem-solving skills.
• Communication: Excellent written and verbal communication and interpersonal skills.
• Cross-Functional Coordination: Proven experience supporting cross-functional operational readiness for large-scale programs.
• Planning and Critical Thinking: Strong planning, critical thinking, and leadership skills.
• Initiative: Self-starter who can initiate and lead projects as well as navigate different environments.
• Microsoft Project skills.
• Proficiency with process mapping tools, change management methods, and data analysis software (e.g., Minitab, Power BI, Visio).
• Microsoft Office - Word, Excel, PowerPoint, Teams, Outlook, Access required at advanced level.
• Skilled in evaluating and optimizing internal and intra-departmental processes to improve efficiency, effectiveness, and alignment with organizational objectives.
• Strong verbal and written communication, tailoring messages to diverse audiences at all levels.
• Adept at managing competing priorities and stakeholder expectations, with the ability to successfully juggle multiple initiatives in a dynamic, fast-paced environment.
• Demonstrated ability to work with all levels of staff, within and external to the organization to achieve shared goals and drive organizational success.
• Knowledge of managed care health insurance operations; strong experience in the healthcare payer industry and knowledge of Medicare.
• Strong ability to develop and maintain positive, productive relationships across business units, ensuring smooth communication and information exchange.

Nice To Haves

• Graduate or Advanced Degree or equivalent experience is preferred.
• PMP certification preferred.
• Deep understanding of continuous improvement frameworks; formal Lean or Six Sigma training or certification (e.g., Green Belt or Black Belt) preferred.
• Experience integrating AI, machine learning, RPA, or other automation platforms into business processes.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Responsibilities

• Enable the re-design of Claims, Enrollment, Provider Data Management and Print & Fulfillment processes
• Facilitate workshops and meetings to map current state processes, gather feedback, and drive consensus to ideal state
• Identify inefficiencies, gaps and work arounds for improvement in current processes
• Facilitate the design and documentation of future-state processes and utilize future state to drive system design and requirements
• Support change management activities, including workstream communication, training, and stakeholder engagement.
• Monitor and report on project performance, including status, risks, opportunities to stakeholders; escalate risks that impact project’s critical path.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Benefits

• Medical Benefits
• Paid Sick Time
• Excellent 401(k) Retirement Saving Plan
• Robust employee recognition program
• An opportunity to become part of a team that makes a difference to our members and our community every day!
• A competitive compensation and benefits program
• An annual employee bonus program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year
• Excellent Retirement Savings program
• A work-life balance

What This Job Offers

• Career Level: Senior