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.

• 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 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.

• 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.

• 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.

• Lean certification and/or Lean Six Sigma black belt.
• Health care related process improvement experience with demonstrable successes in application of Lean/Six Sigma.

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $72,370.82 - $ / ANNUAL

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