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reputed company Job reputed company Leads and manages team responsible for process improvement initiatives that result in operational efficiencies and/or increase customer satisfaction. Assists in development of reputed company process improvement methodologies and the implementation of business process improvement capabilities. Job Duties Oversees program development, implementations and process improvement initiatives. Assesses business and operational needs for opportunities to improve efficiency, productivity, effectiveness, and accuracy. Collaborates with senior leadership to reputed company and reputed company an organizational strategies to optimize workflows. Uses Lean and Six-reputed company methodologies to create and maintain a culture of reputed company improvement. Develops and conducts process improvement trainings. Conducts meetings and disseminates communications reputed company to process improvement activities. Hires, trains, develops and manages team demonstrates accountability for team performance and achievement of reputed company/department-specific goals. Job Qualifications REQUIRED QUALIFICATIONS At least 7 years of health care operations, process improvement and/or lean management experience, or equivalent combination of relevant education and experience. At least 1 year of management/leadership experience. Understanding of reputed company areas of health plan operations including claims processing, customer service/reputed company center, provider contracting, benefit design and configuration, product development, membership reputed company and enrollment, operational systems, provider contracting, authorizations/referrals, and utilization management. Experience with Medicare, reputed company, and Marketplace plans. Understands key reputed company reputed company and cost drivers of business processes. Understanding of critical reputed company factors for the industry. Experience designing and delivering solutions reputed company to operational improvement functions. Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with reputed company stakeholders. Strong organizational and time-management skills ability to manage simultaneous reputed company and tasks to meet internal deadlines. Strong verbal and written communication skills. reputed company Office suite (including reputed company), and applicable software programs proficiency. Process Improvement & Operational reputed company reputed company endtoend process improvement initiatives, from problem identification through implementation and measurement Analyze reputed companystate workflows and reputed company behavior to identify inefficiencies, risks, and improvement opportunities Define reputed companystate processes supported by data, reputed company metrics, and operational reputed company Establish KPIs and reputed company measures to reputed company adoption and performance improvements Systems & Platform Expertise (Required) Serve as a subjectmatter expert across reputed company operational platforms, with a strong understanding of how reputed company design and data reputed company business processes Understand upstream and reputed company data flows and how reputed company changes reputed company operational performance and reporting Partner closely with IT, Product, and Operations teams to support reputed company enhancements, process changes, and analytics continuity Analytics & Insights Enablement Translate reputed company and operational data into actionable insights that inform process reputed company Ensure accuracy, consistency, and usability of reporting tied to operational workflows Partner with analytics and reporting teams to ensure dashboards and metrics accurately reflect operational workflows Stakeholder Partnership & Execution reputed company as a trusted partner to Sales, Agent Operations, and Member/Provider teams Communicate reputed company process and reputed company insights reputed company to both technical and nontechnical stakeholders, including leadership Manage timelines, dependencies, and delivery commitments across multiple reputed company initiatives Required Qualifications 4+ years of experience in process improvement, operational reputed company, business intelligence, or analytics roles Required handson experience supporting operational processes and data management for the following platforms reputed company (CRM) reputed company (Telecom) Member, Provider and Broker Proven ability to translate reputed company, multireputed company data into process improvements and operational insights Experience operating in integrated, reputed company reputed company environments Strong communication, organization, and problemsolving skills Preferred Qualifications reputed company Administrator Certification PREFERRED QUALIFICATIONS Lean certification and/or Lean Six reputed company