Director, Process Improvement & Operational Excellence
Molina Healthcare Rio Rancho, New Mexico; Roswell, New Mexico; Vancouver, Washington; Scottsdale, Arizona; Spokane, Washington; Phoenix, Arizona; Orem, Utah; Idaho; Nampa, Idaho; Green Bay, Wisconsin; Cleveland, Ohio; Madison, Wisconsin; Lexington-Fayette, Kentucky; Sterling Heights, Michigan; Layton, Utah; Chandler, Arizona; Cincinnati, Ohio; Fort Worth, Texas; Texas; Columbus, Ohio; Columbus, Georgia; Kearney, Nebraska; Savannah, Georgia; Orlando, Florida; Milwaukee, Wisconsin; Houston, Texas; Everett, Washington; New York; Dayton, Ohio; Des Moines, Iowa; West Valley City, Utah; St. Petersburg, Florida; Omaha, Nebraska; Grand Rapids, Michigan; Jacksonville, Florida; Bowling Green, Kentucky; Louisville, Kentucky; Washington; Cedar Rapids, Iowa; Augusta, Georgia; Utah; Caldwell, Idaho; Miami, Florida; Yonkers, New York; Macon, Georgia; Albany, New York; Austin, Texas; Lincoln, Nebraska; New Mexico; Georgia; Buffalo, New York; Iowa City, Iowa; Tampa, Florida; Kenosha, Wisconsin; Nebraska; Bellevue, Nebraska; Owensboro, Kentucky; Idaho Falls, Idaho; Iowa; Syracuse, New York; Davenport, Iowa; San Antonio, Texas; Mesa, Arizona; Rochester, New York; Bellevue, Washington; Grand Island, Nebraska; Sioux City, Iowa; Tacoma, Washington; Kentucky; Santa Fe, New Mexico; Ann Arbor, Michigan; Meridian, Idaho; Florida; Ohio; Atlanta, Georgia; Covington, Kentucky; Las Cruces, New Mexico; Salt Lake City, Utah; Akron, Ohio; Dallas, Texas; Warren, Michigan; Tucson, Arizona; Boise, Idaho; Detroit, Michigan; Provo, Utah; Wisconsin; Michigan; Albuquerque, New Mexico; Racine, Wisconsin Job ID 2032508
Job Description
Job Summary
Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.
Knowledge/Skills/Abilities
• Defines program scope, establish approach for implementation and maintains program infrastructure
• Develop a method for assessing program effectiveness and a cadence for assessing and adjusting
• Develop approach for communication organizationally about the program
• Determine program support needs
• Gains agreement on process improvement opportunities to be undertaken and assists in the prioritization of approved initiatives/projects.
• Keeps abreast of current trends impacting Lean concepts/methodologies/tools to ensure that best practices are utilized in process improvement efforts.
• Coordinates and collaborates with Molina enterprise Operational Excellence team and health plan Operational Excellence teams
• Ensures appropriate alignment within the program with organizational Operational Excellence programs
• Manages the portfolio of projects, educational programs and coaching plan for the organization
• Develop managers and staff in lean principles, methodology and application through individual coaching, education and projects
• Explains and applies accepted methodologies (i.e. identify desired outcomes, analyze current processes/problems, collect/analyze relevant data, uncover root causes, develop performance/process improvement plan and implementation tactics, test recommendation and assess results.)
• Establish and maintain an education and coaching approach for all levels of staff. Continuously evaluates training and coaching needs of the organization as it relates to process improvement. Develops and maintains the necessary curriculum and supporting materials to education staff and leaders.
• Facilitates Lean improvement workshops in partnership with managers; develops and delivers presentations/education to mentor/coach various key leadership and management staff to promote awareness, understanding, acceptance and engagement of Lean concepts, methodologies and tools..
Job Qualifications
Required Education
Bachelor's degree required in a related field (Business Administration, Healthcare, Engineering, etc.)
Required Experience
• 8 years' experience in healthcare
• 4 years of management level experience
• 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.
Preferred Education
Graduate Degree
Preferred Experience
• 6 years of healthcare related process improvement experience with demonstrable successes in application of Lean/Six-Sigma
• 10 years of process improvement experience
Preferred License, Certification, Association
LEAN certification and/or Lean Six Sigma Black Belt
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.
Job Summary
Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.
Knowledge/Skills/Abilities
• Defines program scope, establish approach for implementation and maintains program infrastructure
• Develop a method for assessing program effectiveness and a cadence for assessing and adjusting
• Develop approach for communication organizationally about the program
• Determine program support needs
• Gains agreement on process improvement opportunities to be undertaken and assists in the prioritization of approved initiatives/projects.
• Keeps abreast of current trends impacting Lean concepts/methodologies/tools to ensure that best practices are utilized in process improvement efforts.
• Coordinates and collaborates with Molina enterprise Operational Excellence team and health plan Operational Excellence teams
• Ensures appropriate alignment within the program with organizational Operational Excellence programs
• Manages the portfolio of projects, educational programs and coaching plan for the organization
• Develop managers and staff in lean principles, methodology and application through individual coaching, education and projects
• Explains and applies accepted methodologies (i.e. identify desired outcomes, analyze current processes/problems, collect/analyze relevant data, uncover root causes, develop performance/process improvement plan and implementation tactics, test recommendation and assess results.)
• Establish and maintain an education and coaching approach for all levels of staff. Continuously evaluates training and coaching needs of the organization as it relates to process improvement. Develops and maintains the necessary curriculum and supporting materials to education staff and leaders.
• Facilitates Lean improvement workshops in partnership with managers; develops and delivers presentations/education to mentor/coach various key leadership and management staff to promote awareness, understanding, acceptance and engagement of Lean concepts, methodologies and tools..
Job Qualifications
Required Education
Bachelor's degree required in a related field (Business Administration, Healthcare, Engineering, etc.)
Required Experience
• 8 years' experience in healthcare
• 4 years of management level experience
• 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.
Preferred Education
Graduate Degree
Preferred Experience
• 6 years of healthcare related process improvement experience with demonstrable successes in application of Lean/Six-Sigma
• 10 years of process improvement experience
Preferred License, Certification, Association
LEAN certification and/or Lean Six Sigma Black Belt
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: $107,028 - $250,446 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 07/15/2025ABOUT OUR LOCATION
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