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Director, Business Analysis & Process Improvement (Enrollment)

Work from home Full-time role Hiring

Job Description

Job Summary  The Director of Business Analysis & Process Improvement leads and directs process improvement initiatives by utilizing process improvement methodologies in the analysis of current operations and design of improvement projects across all areas that impact operations. Works with various functional leaders and other members of the executive team to drive the execution of strategic initiatives across the organization. Provides analytical support to the strategy development process. Key areas of focus will include performance improvement, project planning and management, financial and operational analyses, corporate strategy development, and change management. 

Knowledge/Skills/Abilities  • Provides business transformational support for executive leadership and functional owners in the identification, development and execution of strategic actions.  • Develops new business operational tools and train team members across the organization to leverage the use of the tools.  • Develops and evaluates fact-based recommendations and presents them to senior leadership to enable critical decisions.  • Drives the execution of organizational change and strategic performance initiatives with necessary governance, oversight mechanisms, and process improvement efforts required to ensure the achievement of the organization’s Operations team.  • Works closely with the organization’s functional leaders to help find solutions to the organization’s toughest issues and provides internal consulting support for evaluation and implementation across the organization.  • Leads critical initiatives requiring analytical and decision support to frame key issues, develop hypotheses, assess risks, conduct analyses, and test potential solutions prior to mobilizing commitment and designing broader implementation and engagement plans.  • Utilizes change management principles, processes, tools, and identifies change strategies, assesses stakeholder impacts and organizational readiness, communicates with and trains facility participants, provides appropriate levels of support and supervision, and measures project effectiveness.  • Performs other job-related duties as assigned or apparent. Ability to lead change while achieving business goals and objectives.  • Exceptional qualitative and quantitative analysis skills.  • Hands-on, results-oriented and pragmatic.  • Creative, flexible, strategic thinker, able to work in a fast-paced, complex, and dynamic work environment.  • Exceptional communication skills, both written and verbal, with excellent presentation skills and the ability to adapt to differing audiences.  • Excellent listening skills with a strong ability to build cross-functional relationships. 

Job Qualifications  Required Education  • Bachelor’s degree – Business, Healthcare, Engineering, Operations, Economics, or other similar, relevant disciplines required 

Required Experience  • Five years of experience in transformation, change management, strategy consulting, or internal corporate strategy.  • Two years of leadership or management experience.

Preferred Experience

  • Six Sigma Black Belt or Green Belt certification 
  • Proven experience with Six Sigma methodologies including process mapping, root cause analysis, and continuous improvement to drive operational excellence, improve quality outcomes, and reduce inefficiencies across complex healthcare processes.
  • Strong knowledge of Medicare Advantage and/or Medicare Supplement programs, including CMS regulatory requirements, enrollment processes, and compliance standards.
  • Experience with 834 EDI files 
  • Poven ability to lead cross-functional teams in technology and healthcare domains, aligning strategic initiatives with business and regulatory goals.
  • Experience managing vendor partnerships
  • Expertise with AI Agentic systems and automation technologies preferred 
  • Proficiency in SQL, with the ability to write and optimize complex queries, perform data validation, and extract insights from large healthcare data sets to support strategic and operational initiatives.

Preferred Education  Master’s degree preferred  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.

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