AVP, Medicaid Process Improv & OpEx

Job Description

Job Summary

Leads Medicaid business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of Molina Healthcare's business process improvement methodology and in the implementation of a business process improvement capability to optimize the performance of our Medicaid health plan and shared service functions.

 

Knowledge/Skills/Abilities

• Uses understanding of key revenue levers, cost drivers and customer satisfaction impacts of business processes to optimize and improve business processes and productivity for Medicaid
• Demonstrates the value of process improvement by leading process improvement initiatives with defined objectives and measurable results
• Provides structured and creative analysis to identify business performance improvement opportunities, set targets for improvements and effectively communicate findings
• Works with business process sponsors to develop clear definitions of business process improvement opportunities and establish measurable goals/objectives
• Makes recommendations on scope and priorities for improvement initiatives
• Gains business process owner buy-in to approach and commitment of resources
• Plans and executes process improvement initiatives, leading work streams of significant scope, typically requiring cross-functional integration
• Focuses on improving operational fundamentals and effectiveness; uses expertise to make operating processes more nimble and sustainable
• Ensures that on-going work following a process improvement initiative is identified, planned, assigned and successfully transitioned to appropriate business owners
• Conducts or coordinates post-initiative review to measure results and report to business sponsors
• Assists in the development of MHI's business process improvement approach and methodology
• Coaches and mentors other Molina leaders and staff in the application of business process improvement methods and tools.

 

Job Qualifications

Required Education
Bachelor's degree required in a related field (Business Administration, etc.)

Required Experience
• 10 years minimum relevant experience in Healthcare.
• Extensive management level experience or understanding of all areas of health plan operations: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, utilization management.
• Understands key revenue levers and cost drivers of business processes.
• Understands critical success factors for the industry.
• Experience designing and delivering solutions related to operational improvement functions.
• Strong leadership qualities and ability to get results.

Required License, Certification, Association
LEAN six sigma black belt

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

 

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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