Tech Stack

Description

You will lead cross-functional process improvement initiatives within the Network Operations team, using Lean and Six Sigma methodologies to design and reengineer internal processes. This role involves defining business requirements, process mapping, and driving operational excellence to support a best-in-class service operation.

Requirements

• 4+ years provider operations experience in a payer setting
• Experience with NCQA, CMS, NUCC requirements
• 3+ years using data tools like Google Platforms, SQL
• 3+ years end-to-end project management experience
• 3+ years designing workflows and operational procedures

Responsibilities

• Lead continuous improvement initiatives and influence organizational behavior change
• Partner cross-functionally to drive core operational improvements
• Utilize Lean, Six Sigma, and other frameworks to implement consistent organizational processes
• Create Business Requirements Documents, process maps, SOPs, and policy documents
• Ensure foundational stability and scalability within your area of responsibility