Job Summary

Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.

Knowledge/Skills/Abilities

• Facilitates groups for problem solving and service improvement including definition/documentation, business workflow analysis.

• Requires high level understanding of the organization’s business and industry requirements.

• Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract compliance requirements that impact processes.

• Works with the business and project development teams to assess and recommend the appropriate configuration design, solutions, and methodology for new and existing business.

• Focus is on process analysis and re-engineering, with an understanding of technical problems and solutions as they relate to the current and future business environment.

• Creates process change by integrating new processes with existing ones and communicating these changes to impacted business teams.

• Recommends and facilitates process improvement efforts. May lead re-engineering team and act as project manager in some cases.

• Demonstrates use of tools, techniques and communications soft skills to build and maintain effective business relationships.

• Understanding of complex payment methodologies, configuration solutions, health care benefits.

• Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission.

• Advanced knowledge of Excel and SQL knowledge preferred

• Knowledge of configuration in QNXT strongly preferred

Job Qualifications

Required Education

Bachelor's degree required in a related field (Business Administration, Healthcare, Engineering, etc.) or 5 years of related field or equivalent experience

Required Experience

• 5 years of process improvement experience

Required License, Certification, Association

LEAN certification and/or Lean Six Sigma Green Belt

Preferred Experience

• Project management

• 2 years of process improvement experience with demonstrable successes in application of Lean/Six-Sigma

Preferred License, Certification, Association

Lean Six Sigma Black Belt

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $77,969 - $155,508 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.