Senior Specialist, Process Improvement & Operational Excellence

Molina Healthcare•Long Beach, CA

About The Position

Provides senior-level support for operational business process redesign, communications, and change management initiatives that result in operational efficiencies and/or increased customer satisfaction. The role is responsible for back-end operationalization of policies, standardization of system setup, and resourcing support for all departments and health plans. It also assists in developing enterprise business process improvement methodologies and implementing business process improvement capabilities company-wide.

Requirements

At least 3 years of process improvement or analytics experience, or an equivalent combination of relevant education and experience.
Data analysis skills.
Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing, and related functions.
Strong organizational and time-management skills, including the ability to manage simultaneous projects and tasks to meet internal deadlines.
Ability to work collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
Effective verbal and written communication skills.
Proficiency with the Microsoft Office suite, including Excel, and applicable software programs.

Nice To Haves

Proven analytical experience in an operations- or process-focused environment.
Health care experience.
Lean Six Sigma certification.
Previous audit and/or oversight experience.

Responsibilities

Partner with business functions and units to identify, document, and baseline relevant processes.
Use industry techniques to improve the effectiveness and efficiency of business processes.
Interview staff and leadership to assess internal processes and review compliance with organizational policies, procedures, SOPs, and applicable internal, external, and regulatory guidelines.
Review and research information to evaluate process or function compliance and related documentation.
Research and analyze fundamental issues in business process development.
Use analytical skills and data insights to identify process and information variances.
Diagram and evaluate existing processes.
Develop process measurement metrics and identify indicators for future improvement opportunities.
Recommend, implement, and document continuous-improvement best practices to support the business.
Summarize and document assessment outcomes and recommendations, and communicate them to process owners and leadership.
Collaborate with process owners to maintain or create business process documentation and workflows related to core operations.
Conduct ongoing reviews and update complex business processes in collaboration with subject-matter experts and stakeholders.
Serve as liaison between core operations and internal and external auditors for formal core operations audits that are not compliance-related.
Coordinate, facilitate, and document audit walkthroughs.
Research, collect, or generate requested documentation and provide timely, accurate written and verbal responses.
Research and respond to questions from internal and external auditors.
Research requested documentation and collaborate with teams and other functional areas as needed.
Provide training and support to new and existing process improvement team members.