Process Improvement Lead
J
JobgetherGovernment Healthcare
Fully remote opportunity available across the United States, subject to the stated geographic eligibility requirements.Full-TimeLead
SalaryAnnual base salary range of $94,900–$130,500
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Job Details
- Experience
- 5+ years of experience in operations supporting claims administration; 2+ years of project management experience
- Required Skills
- Project ManagementOperations ManagementProcess improvement
Requirements
- Bachelor’s degree required.
- 5+ years of experience in operations supporting claims administration.
- 2+ years of project management experience, including experience supporting large-scale projects.
- Lean Six Sigma or Project Management certification required.
- Demonstrated experience identifying operational inefficiencies and implementing process improvements.
- Strong understanding of claims operations, workflows, inventory management, and operational controls.
- Strong project planning, organization, analytical, and problem-solving skills.
- Ability to collaborate effectively across multiple teams and organizational levels.
- Strong communication skills, with the ability to translate operational issues into clear recommendations and action plans.
- Ability to manage competing priorities, timelines, and complex implementation activities.
- Ability to work independently in a remote environment while maintaining strong collaboration with distributed teams.
- Ability to work from a dedicated home workspace and maintain appropriate safeguards for protected information.
Responsibilities
- Support the stand-up and implementation of a new government healthcare contract, helping establish the operational framework, processes, workflows, and controls required for execution.
- Partner with leaders and cross-functional teams to assess current processes, identify improvement opportunities, and implement solutions that enhance operational performance.
- Help design and implement standardized operating procedures and controls across claims administration and financial services operations.
- Monitor claims and financial inventory to identify trends, bottlenecks, risks, and opportunities for workflow improvement.
- Develop and implement workflow enhancements that improve efficiency, quality, visibility, and operational consistency.
- Establish and monitor operational controls designed to support accurate, timely, and compliant execution.
- Coordinate and support large-scale projects related to process transformation, operational readiness, and implementation.
- Collaborate with stakeholders across operations, claims, finance, project management, and other functional areas to align priorities and drive solutions.
- Analyze operational performance and use findings to recommend practical improvements and corrective actions.
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