Business Process Consultant

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: The Business Process Consultant leads large scale, cross-functional initiatives for the Encounter Business Operations (EBO) department focused on regulatory compliance, encounter quality, and operational process improvement. This role will support department leadership and cross-functional stakeholders by coordinating communication and helping drive initiatives to completion across multiple markets.

***The Business Process Consultant is primarily remote. Candidates will be considered nationally. ***

Responsibilities:

• Facilitates the optimization of encounters business operational performance by enhancing alignment of policy, process and technology, and designing/implementing for future business needs as well.

• Leads large scale, cross-functional initiatives.

• Provides policy guidance on encounter initiatives so that end-to-end processes are considered for maximizing effective implementation.

• Organizes work teams, drives consensus, and ensures end-to-end policy/process integrity to accomplish project work including identification and confirmation of participants, establishment of a project plan, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation, and implementation oversight.

• Performs detailed analysis of data, workflows, policies, procedures, organization of staff, skills and offers potential solutions in order to execute initiatives.

• Supports the project work by utilizing project management software such as, but not limited to, Excel, PowerPoint, Visio, and Microsoft Project.

• Leads all levels of staff who are responsible for initiatives in order to support their success, development and effective completion and communication of their initiatives.

• Assists other project leaders in specific areas as needed such as facilitation, analysis, process mapping, brainstorming, project management issues, etc.

• Writes and delivers communication to all levels of the organization to ensure support, awareness, and effectiveness of process improvement initiatives.

• Provides other related support as needed to improve the performance of the business.

• Performs other duties as assigned.

• Complies with all policies and standards.

Highly Preferred Skills:

• Prior experience working with encounters data and processes

• Data Analytical skills and demonstrated proficiency in Excel

• Managed care and/or payer experience

• Ability and comfort level presenting and storytelling with data

• Excellent written and verbal communication skills

Education/Experience: Bachelor's Degree in a related field or equivalent experience required. Master's Degree in a related field preferred. 5+ years health care, insurance or related experience required. Demonstrated experience and skill in training, presenting, and facilitating required.
 

Pay Range: $70,100.00 - $126,200.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act