Molina Healthcare - Bowling Green, KY

posted 2 months ago

Full-time - Senior
Remote - Bowling Green, KY
Insurance Carriers and Related Activities

About the position

The Director of Process Improvement & Operational Excellence at Molina Healthcare is responsible for leading business process improvement initiatives that enhance operational efficiencies and increase customer satisfaction. This role involves the development and implementation of Molina's business process improvement methodology, ensuring that the organization adopts best practices in process improvement efforts. The director will define the program scope, establish an implementation approach, and maintain the program's infrastructure, ensuring alignment with organizational goals and operational excellence programs. In this position, the director will develop methods for assessing program effectiveness and create a communication strategy to inform the organization about the program's progress. They will work collaboratively with the Molina enterprise Operational Excellence team and health plan Operational Excellence teams to prioritize process improvement opportunities and manage a portfolio of projects, educational programs, and coaching plans for the organization. The director will also be responsible for developing managers and staff in lean principles and methodologies through coaching, education, and hands-on projects. The role requires a strong understanding of healthcare operations, including claims processing, customer service, provider contracting, and operational systems. The director will facilitate Lean improvement workshops, mentor key leadership and management staff, and continuously evaluate the training and coaching needs of the organization. This position is critical in promoting awareness and engagement with Lean concepts and methodologies across all levels of staff, ensuring that the organization remains competitive and efficient in its operations.

Responsibilities

  • Lead business process improvement initiatives to enhance operational efficiencies and customer satisfaction.
  • Develop and implement Molina's business process improvement methodology.
  • Define program scope and establish an approach for implementation.
  • Maintain program infrastructure and assess program effectiveness.
  • Communicate organizationally about the program and its needs.
  • Gain agreement on process improvement opportunities and assist in prioritization of initiatives/projects.
  • Stay updated on trends impacting Lean concepts and methodologies.
  • Coordinate with Molina enterprise Operational Excellence team and health plan teams.
  • Manage the portfolio of projects, educational programs, and coaching plans.
  • Develop managers and staff in lean principles through coaching and education.
  • Facilitate Lean improvement workshops and deliver presentations to promote Lean concepts.

Requirements

  • Bachelor's degree in a related field (Business Administration, Healthcare, Engineering, etc.).
  • 8 years of experience in healthcare.
  • 4 years of management level experience.
  • Understanding of all areas of health plan operations including claims processing, customer service, provider contracting, and benefit design.
  • Knowledge of key revenue levers and cost drivers of business processes.
  • Experience designing and delivering solutions related to operational improvement functions.
  • Strong leadership qualities and ability to achieve results.

Nice-to-haves

  • Graduate Degree
  • 6 years of healthcare-related process improvement experience with demonstrable successes in Lean/Six-Sigma application.
  • 10 years of process improvement experience.
  • Experience with Azure and SQL programming (read/write SQL).
  • Experience in process improvement for Data Governance and Healthcare Informatics.
  • LEAN certification and/or Lean Six Sigma Black Belt certification.
  • CPHQ certification.

Benefits

  • Competitive benefits and compensation package.
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