Manager, Process Improvement & Operational Excellence (Remote)

Job Description

Job Summary

Leads and manages team responsible for process improvement initiatives that result in operational efficiencies and/or increase customer satisfaction.  Assists in development of enterprise 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 develop and deploy an 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.

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 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.

PREFERRED QUALIFICATIONS:

• Lean certification and/or Lean Six Sigma black belt.

• Health care related process improvement experience with demonstrable successes in application of Lean/Six Sigma. 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.