Business Solutions Consultant - Operations Support - Remote

Job Description
Job Summary
Business Strategy Leader managing relationships and providing process expertise with Molina health plan leadership, corporate leadership, business subject matter experts (SMEs), business and IT operations partners, and Vendors. Manages new capability priorities. Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction.
Job Duties

• Builds, manages and maintains effective Business relationships with key stakeholders in business domain across Health plans and Corporate Healthcare functions,
• Requires understanding of organization's business and industry requirements.
• Focus is on process analysis and re-engineering, with a deep understanding of technical problems and solutions as they relate to the current and future business environment.
• Drives process change by integrating new processes with existing ones or introducing modernization and communicating these changes to impacted business teams.
• Uses quantitative and qualitative analysis to develop and improve internal processes across the enterprise.
• Recommends and facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases.
• Drives efficiency: looks for and documents ways to increase the efficiency through continuous improvement goals.
• Maintains management/technical skills that can be utilized in the field to solve complex problems.
• Continuous improvements of established reports in production to ensure best performance and use for business value metrics.
• Demonstrates use of tools, techniques and communications soft skills to build and maintain effective business relationships.
• Works closely with Corporate leadership to deliver key business initiatives, process improvements, managing KPIs and business communication.
• Assimilates and documents business needs for project requests and benefit value documentation including high level requirements, compliance implications and cost benefit analysis.
• Organizes complex project requests or issue successfully into manageable approaches and advise on project set up/structure based on proposed scope.
• Facilitates groups for problem solving and service improvement including definition/documentation, business workflow analysis.
• Develops effective processes, forums and tracking mechanisms to continuously improve process through Business feedback, proactive handling of Business complaints and facilitation of resolution.
• Conducts bi-weekly Operations and Issue Resolution meeting.
• Maintains a Service Delivery Plan for individual Health plans or Corporate functions to include Business strategies/needs with corresponding IT strategies/plans, projects, performance measurements, customer satisfaction improvement plans and other items as determined by the health plan.
• Effectively manages business escalations by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.
• Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract compliance requirements that impact processes.
• Facilitates and leads processes and activities to complete deliverables impacting assigned healthplans including, but not limited to, RFP Responses, audit response/coordination, and evaluation of new contract requirements.
• Other duties, as assigned.

Job Qualifications
REQU I RED ED U C A TI O N :

• Bachelor’s Degree in Business, Healthcare, Computer Science, Information Systems or equivalent combination of education and experience

REQU I RED E X PE R I E N C E/KNOWLEDGE, SKILLS & ABILITIES:

• 6 - 8 years experience in Managed care, IT system delivery or related experience
• Demonstrates Healthcare business process and/or functional knowledge.
• Demonstrates use of effective communication skills

PR E FE R RED E X PE R I E N C E:
IT or system delivery or related experience.

• Strategic planning experience.
• Project management background.

PR E FE R RED L I C E N S E, C E R TI FI C A T I O N , AS S O C I A TI O N :

• Six Sigma Black Belt, PMI - Project Management Professional, Agile Product Owner, Design Thinking Certification

PHY S I C AL DEM A N D S :
W o rki n g en v i r o nm ent is g e n erally f a vo r a b le and li gh t i n g and t e m p erature are a d eq u at e . W o rk is g eneral l y p erf o r m ed in an o ff i ce e n v i r o n m ent in w h i c h t h ere is o n l y m i n i m al e x p o su r e to u np leasa n t a nd /o r ha z ar d o u s w o rki n g c o nd iti o n s. M u s t h a v e t h e a b ility t o s i t f o r l o n g p eri o d s. Rea s o n a b le acc om mo d a ti o n s m a y be m a d e to e n a b le in d i v i du als with d i sa b ilities t o p er f o r m t h e e ssential fu n cti o n .
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.
Pay Range: $65,791.66 - $142,548.59 / ANNUAL

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Health insurance