Sr Specialist, Process Review (Remote)

Lensa; Cleveland (OH); Remote; USD 77,000 - 117,000; Full time

Job summary

A leading career site is seeking a professional for a mid-senior level role in operations at Molina Healthcare. The position involves business process redesign, compliance assessment, and collaboration with various departments. Competitive benefits are offered, and the pay range is between $77,969 and $116,835 annually.

Benefits

Competitive Benefits

Qualifications

• Four years of proven analytical experience in operations or process-focused environments.
• Experience within managed care operations such as enrollment and claims processing.

Responsibilities

• Responsible for business process redesign and change management.
• Conduct interviews and assess internal business processes for compliance.

Skills

Analytical Skills

Problem-Solving

Education

Associate's Degree

Bachelor's Degree

Job description

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary

Responsible for providing business process redesign, communication, and change management for operations. Backend operationalization of policies, standardization of system set-up, and serving as a resource for all departments and health plans company-wide.

Knowledge/Skills/Abilities

• Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with organizational Policies, Procedures, and SOPs.
• Review, research, analyze, and evaluate information to assess compliance and identify variances, using analytical and problem-solving skills to recommend process improvements.
• Summarize and document assessment outcomes and communicate them effectively to process owners and management.
• Collaborate with process owners to maintain or create business process documentation and workflows related to Core Operations functions.
• Serve as liaison between Core Operations and auditors for audits, coordinate and document walkthroughs, and respond to audit inquiries.

Job Qualifications

Required Education

Associate's Degree or two years of equivalent experience.

Required Experience

• Four years of proven analytical experience within an operations or process-focused environment, including experience within managed care operations such as enrollment, claims processing, and provider management.

Preferred Education

Bachelor's Degree.

Preferred Experience

• Six years of proven analytical experience in operations or process environments, with previous audit or oversight experience preferred.

To all current Molina employees: If interested, apply through the intranet job listing.

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

Pay Range: $77,969 - $116,835 / ANNUAL

• Actual compensation may vary based on location, experience, education, and skills.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Information Technology
• Industries: IT Services and IT Consulting