Job Description:
• Analyze and measure the effectiveness of existing business processes
• Develop sustainable, repeatable, and quantifiable business process improvements
• Develop and execute operational excellence initiatives
• Identify inefficiencies, recommend solutions, and drive implementation of best practices
• Research business practices to establish team benchmarks
• Review and streamline processes and procedures to improve collaboration, efficiency, and compliance
• Design and build new processes and practices
• Serve as the department point person for compliance, audits, and quality reviews such as NCQA materials
• Collect and analyze data, identify gaps, and develop processes and procedures
• Review job aids, new-hire onboarding, and training processes
• Advise leadership on functional strategies
• Report to the Director of Health Services and oversee 1–2 direct reports
Requirements:
• Bachelor's degree
• 5 or more years of process improvement experience
• 2 or more years of project leadership experience
• 2 or more years of case management and/or utilization management experience
• Active Registered Nurse (RN) or Master of Social Work (MSW) license in the state of employment (preferred)
• Experience with Medicaid compliance (preferred)
• At least 2 years of Medicaid experience
• Certification in Lean, Six Sigma, or a comparable process improvement methodology (preferred)
• Ability to lead multiple initiatives and drive change within a matrixed organization
• Familiarity with project management tools and resources
Benefits:
• Medical benefits
• Dental benefits
• Vision benefits
• 401(k) retirement savings plan
• Paid time off
• Company holidays
• Personal holidays
• Paid parental leave
• Paid caregiver leave
• Short-term disability
• Long-term disability
• Life insurance
• Bonus incentive plan