Sr Business Solutions Consultant - QNXT SME - Remote
Molina Healthcare Arizona; Layton, Utah; Dayton, Ohio; Houston, Texas; Columbus, Georgia; Des Moines, Iowa; Jacksonville, Florida; Salt Lake City, Utah; Macon, Georgia; Caldwell, Idaho; St. Petersburg, Florida; Las Cruces, New Mexico; Provo, Utah; Meridian, Idaho; Louisville, Kentucky; Warren, Michigan; Tacoma, Washington; Roswell, New Mexico; Yonkers, New York; San Antonio, Texas; Iowa City, Iowa; Boise, Idaho; Mesa, Arizona; Syracuse, New York; Owensboro, Kentucky; Columbus, Ohio; Orlando, Florida; Savannah, Georgia; West Valley City, Utah; Green Bay, Wisconsin; Sioux City, Iowa; Kearney, Nebraska; Atlanta, Georgia; Covington, Kentucky; Akron, Ohio; Bowling Green, Kentucky; Omaha, Nebraska; Grand Rapids, Michigan; Fort Worth, Texas; Seattle, Washington; Austin, Texas; Scottsdale, Arizona; Phoenix, Arizona; Miami, Florida; Tampa, Florida; Spokane, Washington; Augusta, Georgia; Milwaukee, Wisconsin; Ann Arbor, Michigan; Lexington-Fayette, Kentucky; Madison, Wisconsin; Lincoln, Nebraska; Rochester, New York; Davenport, Iowa; Buffalo, New York; Cincinnati, Ohio; Grand Island, Nebraska; Tucson, Arizona; Idaho Falls, Idaho; Detroit, Michigan; Santa Fe, New Mexico; Cedar Rapids, Iowa; Albuquerque, New Mexico; Orem, Utah; Bellevue, Washington; Chandler, Arizona; Sterling Heights, Michigan; Kenosha, Wisconsin; New York, New York; Cleveland, Ohio; Bellevue, Nebraska; Nampa, Idaho; Racine, Wisconsin; Rio Rancho, New Mexico; Vancouver, Washington; Dallas, Texas; Michigan; Wisconsin; New Mexico; Texas; Georgia; Iowa; Nebraska; Ohio; New York; Kentucky; Washington; Utah; Florida; Idaho Job ID 2028791
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. Manage strategic operations roadmaps and 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 highest level 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 and process maturation taking into account budget impacts.
• 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.
• Responsible for business case development. Advises on project benefit calculation drivers and able to explain benefits to Senior Leadership meetings.
• Demonstrates advanced knowledge and understanding of business work pipeline, IT roadmap, business impacts and required interactions to link these efforts to portfolio management processes; facilitates with clients to ensure work is considered in pipeline.
• 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.
• Develops and 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.
• Remain knowledgeable of vendor strategic roadmaps and how they align with business growth and priorities
• Arrange vendor demonstrations and manager proof of concept requirements for new capability value studies.
• Other duties, as assigned.
Job Qualifications
REQUIRED EDUCATION:
Bachelor’s Degree in Business, Healthcare,
Computer Science, Information Systems or 10 years of related field or equivalent experience
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
• 7-10 years business function or relations management experience
• 5-7 years IT or system delivery or related experience.
• 3 years strategic planning experience.
• Project management background.
PREFERRED EDUCATION:
Master’s Degree in Computer Science, Information Systems or Healthcare related field
PREFERRED EXPERIENCE:
3+ years management experience.
3 – 5 years managed care experience.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Six Sigma Black Belt
PMI - Project Management Professional (PMP)
Agile Product Owner
Design Thinking Certification
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.
Pay Range: $88,453 - $206,981 / 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: 11/11/2024ABOUT OUR LOCATION
View Map- Provider Relations Representative Sacramento California 01/22/2025
- Data Analyst Arizona, Rio Rancho New Mexico, Tucson Arizona, Scottsdale Arizona, Atlanta Georgia, Florida, New York, Cedar Rapids Iowa, Lexington-Fayette Kentucky, Louisville Kentucky, Omaha Nebraska, Albuquerque New Mexico, Kearney Nebraska, Yonkers New York, Columbus Ohio, Cleveland Ohio, Miami Florida, Idaho Falls Idaho, Davenport Iowa, Grand Island Nebraska, Roswell New Mexico, Vancouver Washington, Green Bay Wisconsin, Milwaukee Wisconsin, Tampa Florida, Mesa Arizona, Boise Idaho, Ohio, Utah, Washington, Sioux City Iowa, New York New York, Fort Worth Texas, Austin Texas, Provo Utah, Phoenix Arizona, Georgia, Wisconsin, Caldwell Idaho, Iowa City Iowa, Owensboro Kentucky, Covington Kentucky, Ann Arbor Michigan, Las Cruces New Mexico, Rochester New York, San Antonio Texas, West Valley City Utah, Tacoma Washington, Spokane Washington, Racine Wisconsin, Chandler Arizona, Orlando Florida, Iowa, Meridian Idaho, Nampa Idaho, Detroit Michigan, Grand Rapids Michigan, Syracuse New York, Akron Ohio, St. Petersburg Florida, Dallas Texas, Madison Wisconsin, Seattle Washington, Idaho, Nebraska, Des Moines Iowa, Dayton Ohio, Houston Texas, Layton Utah, Augusta Georgia, Kentucky, Michigan, Texas, Bowling Green Kentucky, Warren Michigan, Sterling Heights Michigan, Lincoln Nebraska, Bellevue Nebraska, Santa Fe New Mexico, Cincinnati Ohio, Salt Lake City Utah, Orem Utah, Bellevue Washington, Kenosha Wisconsin, Jacksonville Florida, Columbus Georgia, Macon Georgia, Savannah Georgia, New Mexico, Buffalo New York 01/22/2025
- Director, Data Governance (Data Lake)- REMOTE Arizona, Kentucky, New Mexico, Utah, Phoenix Arizona, Atlanta Georgia, Idaho Falls Idaho, Des Moines Iowa, Cedar Rapids Iowa, Grand Rapids Michigan, Omaha Nebraska, Rochester New York, Akron Ohio, Salt Lake City Utah, Vancouver Washington, Tampa Florida, Ann Arbor Michigan, Albuquerque New Mexico, Cleveland Ohio, Provo Utah, Layton Utah, Georgia, Macon Georgia, Sioux City Iowa, Owensboro Kentucky, Covington Kentucky, Bellevue Nebraska, Grand Island Nebraska, Las Cruces New Mexico, New York New York, Columbus Ohio, San Antonio Texas, Bellevue Washington, Madison Wisconsin, Mesa Arizona, Nampa Idaho, Caldwell Idaho, Iowa City Iowa, Louisville Kentucky, Lincoln Nebraska, Yonkers New York, Cincinnati Ohio, Houston Texas, Dallas Texas, Tacoma Washington, Green Bay Wisconsin, Jacksonville Florida, Orlando Florida, Lexington-Fayette Kentucky, Detroit Michigan, Fort Worth Texas, Milwaukee Wisconsin, Kenosha Wisconsin, Florida, Iowa, Michigan, New York, St. Petersburg Florida, Wisconsin, Chandler Arizona, Scottsdale Arizona, Augusta Georgia, Meridian Idaho, Davenport Iowa, Kearney Nebraska, Rio Rancho New Mexico, Dayton Ohio, Idaho, Ohio, Texas, Washington, Tucson Arizona, Savannah Georgia, Bowling Green Kentucky, Sterling Heights Michigan, Santa Fe New Mexico, Syracuse New York, Austin Texas, West Valley City Utah, Seattle Washington, Racine Wisconsin, Nebraska, Miami Florida, Columbus Georgia, Boise Idaho, Warren Michigan, Roswell New Mexico, Buffalo New York, Orem Utah, Spokane Washington 12/13/2024
- Sr. Analyst, Reporting & Analytics (Medicare/Clinical) - REMOTE Arizona, Madison Wisconsin, Green Bay Wisconsin, Iowa City Iowa, Wisconsin, Florida, Cleveland Ohio, Provo Utah, Dayton Ohio, Georgia, Las Cruces New Mexico, Scottsdale Arizona, Columbus Georgia, Texas, Sterling Heights Michigan, Des Moines Iowa, Phoenix Arizona, Tacoma Washington, Seattle Washington, Columbus Ohio, Sioux City Iowa, Akron Ohio, Warren Michigan, West Valley City Utah, Bowling Green Kentucky, Covington Kentucky, Meridian Idaho, Dallas Texas, Yonkers New York, Cincinnati Ohio, Chandler Arizona, Rochester New York, San Antonio Texas, Idaho, Tampa Florida, Macon Georgia, Nampa Idaho, Roswell New Mexico, Atlanta Georgia, Lincoln Nebraska, Santa Fe New Mexico, Fort Worth Texas, Augusta Georgia, Boise Idaho, Idaho Falls Idaho, Louisville Kentucky, Miami Florida, Grand Island Nebraska, Milwaukee Wisconsin, Salt Lake City Utah, Austin Texas, Buffalo New York, Utah, Kenosha Wisconsin, Syracuse New York, Nebraska, New York, Washington, Iowa, Layton Utah, Mesa Arizona, Savannah Georgia, Orlando Florida, Kearney Nebraska, New York New York, St. Petersburg Florida, Bellevue Nebraska, Davenport Iowa, Ann Arbor Michigan, Lexington-Fayette Kentucky, Caldwell Idaho, Vancouver Washington, Racine Wisconsin, Cedar Rapids Iowa, Detroit Michigan, Jacksonville Florida, Omaha Nebraska, Grand Rapids Michigan, Rio Rancho New Mexico, Tucson Arizona, New Mexico, Michigan, Bellevue Washington, Ohio, Orem Utah, Spokane Washington, Kentucky, Houston Texas, Albuquerque New Mexico, Owensboro Kentucky 01/07/2025