Senior Business Process Redesign Consultant

Jobtailor; Long Beach (CA); On-site; USD 120,000 - 170,000; Full time

Job summary

Jobtailor is seeking a senior process improvement leader to redesign healthcare operations processes and drive future-state system design. You will facilitate cross-functional workshops, map current and future processes, and support change management activities across initiatives.

The role requires 7+ years in health plan operations or related consulting, with expertise in data analysis tools and Lean/Six Sigma methodologies. On-site in the US, collaboration across stakeholders is essential.

Qualifications

• Bachelor's Degree or equivalent experience in Healthcare Administration, Business, Public Health, or a related field is required.
• Graduate or Advanced Degree or equivalent experience is preferred.
• PMP certification preferred.
• 7+ years of experience in health plan operations, process improvement, process redesign, or management consulting roles, with demonstrated success in leading cross functional initiatives.
• Microsoft Project skills.
• Proficiency with process mapping tools, change management methods, and data analysis software (e.g., Minitab, Power BI, Visio).
• Microsoft Office - Word, Excel, PowerPoint, Teams, Outlook, Access required at advanced level.
• Deep understanding of continuous improvement frameworks; formal Lean or Six Sigma training or certification (e.g., Green Belt or Black Belt) preferred.
• Experience integrating AI, machine learning, RPA, or other automation platforms into business processes.

Responsibilities

• Enable the re-design of Claims, Enrollment, Provider Data Management and Print & Fulfillment processes.
• Facilitate workshops and meetings to map current state processes, gather feedback, and drive consensus to ideal state.
• Identify inefficiencies, gaps and work arounds for improvement in current processes.
• Facilitate the design and documentation of future-state processes and utilize future state to drive system design and requirements.
• Support change management activities, including workstream communication, training, and stakeholder engagement.
• Monitor and report on project performance, including status, risks, opportunities to stakeholders; escalated risks that impact project’s critical path.

Skills

Process Improvement

Change Management

Healthcare Administration

PMP Certification

Process Mapping Tools

Education

Bachelor's Degree or equivalent experience in Healthcare Administration, Business, Public Health, or related field

Graduate or Advanced Degree or equivalent experience

PMP Certification

Tools

Microsoft Project

Minitab

Power BI

Visio

Microsoft Office

Microsoft Teams

Microsoft Outlook

Microsoft Access

Job description

• Enable the re-design of Claims, Enrollment, Provider Data Management and Print & Fulfillment processes
• Facilitate workshops and meetings to map current state processes, gather feedback, and drive consensus to ideal state
• Identify inefficiencies, gaps and work arounds for improvement in current processes
• Facilitate the design and documentation of future-state processes and utilize future state to drive system design and requirements
• Support change management activities, including workstream communication, training, and stakeholder engagement.
• Monitor and report on project performance, including status, risks, opportunities to stakeholders; escalated risks that impact project’s critical path.

Requirements

• Bachelor's Degree or equivalent experience in Healthcare Administration, Business, Public Health, or a related field is required.
• Graduate or Advanced Degree or equivalent experience is preferred.
• PMP certification preferred.
• 7+ years of experience in health plan operations, process improvement, process redesign, or management consulting roles, with demonstrated success in leading cross functional initiatives.
• Microsoft Project skills.
• Proficiency with process mapping tools, change management methods, and data analysis software (e.g., Minitab, Power BI, Visio).
• Microsoft Office - Word, Excel, PowerPoint, Teams, Outlook, Access required at advanced level.
• Deep understanding of continuous improvement frameworks; formal Lean or Six Sigma training or certification (e.g., Green Belt or Black Belt) preferred.
• Experience integrating AI, machine learning, RPA, or other automation platforms into business processes.

Core Competencies

Demonstrates expertise in process improvement and redesign within healthcare operations, utilizing advanced data analysis and change management techniques. Proficient in facilitating stakeholder engagement and driving consensus for future-state process design.

Highest-signal resume keywords

• Process Improvement
• Change Management
• Healthcare Administration
• PMP Certification
• Process Mapping Tools

ATS Optimization Keywords

Hard Skills

• Process Redesign
• Data Analysis
• Continuous Improvement Frameworks
• AI Integration
• Machine Learning
• RPA
• Microsoft Project
• Minitab
• Power BI
• Visio

Soft Skills

• Facilitation
• Stakeholder Engagement
• Communication
• Consensus Building
• Training

Certifications & Qualifications

• PMP Certification
• Lean Certification
• Six Sigma Certification

Industry Keywords

• Health Plan Operations
• Process Improvement
• Management Consulting
• Stakeholder Engagement
• Cross Functional Initiatives

Tools & Technologies

• Microsoft Office
• Microsoft Teams
• Microsoft Outlook
• Microsoft Access