JOB DESCRIPTION Job Summary Provides senior level support for operational business process redesign, communications and change management initiatives that result in operational efficiencies and/or an increase customer satisfaction. Responsible for back-end operationalization of policies, standardization of system set-up and resourcing support for all departments and health plans. Assists in development of enterprise business process improvement methodologies and implementation of business process improvement capabilities company-wide. Essential Job Duties • Partners with various business functions and units to identify, document, and baseline all relevant processes. • Utilizes industry techniques to improve the effectiveness and efficiency of business processes. • Conducts interviews with staff and leadership to assess internal business processes within a department or function, and review/ensure compliance with existing organizational policies and procedures/standard operating procedures (SOPs) and other internal, external and regulatory guidelines. • Reviews and researches information to evaluate compliance of a process or function and corresponding written documentation. • Researches and analyzes fundamental issues in business process development. • Uses analytical skills and data insights to identify process/informational variances. • Diagrams and evaluates existing processes. • Develops metrics that provide data for process measurement - identifying indicators for future improvement opportunities. • Recommends, implements, and documents continuous improvement process best practices to support the business. • Summarizes and documents assessment outcomes and recommendations, and ensures that they are appropriately communicated (written and verbal) to process owners and leadership. • Collaborates with process owners to maintain and/or create business process documentation and workflows related to core operations functions. • Conducts ongoing reviews and updates complex business processes in collaboration with functional subject matter experts and other stakeholders. • Serves as liaison between core operations and internal and external auditors for all formal core operations audits that are not compliance related. • Coordinates, facilitates and documents audit walkthroughs. • Researches, collects or generates requested documentation; provides timely and accurate responses, both written and verbal. • Researches and responds to questions submitted by internal and external auditors. • Researches requested documentation and collaborates in partnership with teams and other functional areas as needed. • Provides training and support to new and existing process improvement team members. Required Qualifications • At least 3 years of process improvement/analytics experience, or 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 other related functions. • Strong organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. • Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders. • Effective verbal and written communication skills. • Microsoft Office suite (including Excel) and applicable software programs proficiency. Preferred Qualifications • Proven analytical experience within an operations or process-focused environment. • Health care experience. • Lean Six Sigma certification. • Previous audit and/or oversight experience. 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 Pay Range: $44,936.59 - $97,362.61 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.