Manager, Process Improvement & Operational Excellence-Salesforce (Remote)

Job Description

Job Description

Job Summary

Leads and manages team responsible for process improvement initiatives that result in operational efficiencies and/or increase customer satisfaction. Assists in development of enterprise process improvement methodologies and the implementation of business process improvement capabilities.

Job Duties

• Oversees program development, implementations and process improvement initiatives.

• Assesses business and operational needs for opportunities to improve efficiency, productivity, effectiveness, and accuracy.

• Collaborates with senior leadership to develop and deploy an organizational strategies to optimize workflows.

• Uses Lean and Six-Sigma methodologies to create and maintain a culture of continuous improvement.

• Develops and conducts process improvement trainings.

• Conducts meetings and disseminates communications related to process improvement activities.

• Hires, trains, develops and manages team demonstrates accountability for team performance and achievement of quality/department-specific goals.

Job Qualifications

REQUIRED QUALIFICATIONS:

• At least 7 years of health care operations, process improvement and/or lean management experience, or equivalent combination of relevant education and experience.

• At least 1 year of management/leadership experience.

• Understanding of all areas of health plan operations including: claims processing, customer service/call center, provider contracting, benefit design and configuration, product development, membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, and utilization management.

• Experience with Medicare, Medicaid, and Marketplace plans.• Understands key revenue levers and cost drivers of business processes.

• Understanding of critical success factors for the industry.

• Experience designing and delivering solutions related to operational improvement functions.

• Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.

• Strong organizational and time-management skills ability to manage simultaneous projects and tasks to meet internal deadlines.

• Strong verbal and written communication skills.

• Microsoft Office suite (including Excel), and applicable software programs proficiency.
Process Improvement & Operational Excellence

- Lead end‑to‑end process improvement initiatives, from problem identification through implementation and measurement

- Analyze current‑state workflows and system behavior to identify inefficiencies, risks, and improvement opportunities

- Define future‑state processes supported by data, clear metrics, and operational outcomes

- Establish KPIs and success measures to track adoption and performance improvements

Systems & Platform Expertise (Required)

- Serve as a subject‑matter expert across core operational platforms, with a strong understanding of how system design and data impact business processes

- Understand upstream and downstream data flows and how system changes affect operational performance and reporting

- Partner closely with IT, Product, and Operations teams to support system enhancements, process changes, and analytics continuity

Analytics & Insights Enablement

- Translate system and operational data into actionable insights that inform process decisions

- Ensure accuracy, consistency, and usability of reporting tied to operational workflows

- Partner with analytics and reporting teams to ensure dashboards and metrics accurately reflect operational workflows

Stakeholder Partnership & Execution

- Act as a trusted partner to Sales, Agent Operations, and Member/Provider teams

- Communicate complex process and system insights clearly to both technical and non‑technical stakeholders, including leadership

- Manage timelines, dependencies, and delivery commitments across multiple concurrent initiatives

Required Qualifications

- 4+ years of experience in process improvement, operational excellence, business intelligence, or analytics roles

- Required hands‑on experience supporting operational processes and data management for the following platforms:

- Salesforce (CRM)

- Genesys (Telecom)

- Member, Provider and Broker

- Proven ability to translate complex, multi‑system data into process improvements and operational insights

- Experience operating in integrated, enterprise system environments

- Strong communication, organization, and problem‑solving skills

Preferred Qualifications

- Salesforce Administrator Certification

PREFERRED QUALIFICATIONS:

• Lean certification and/or Lean Six Sigma black belt.

• Health care related process improvement experience with demonstrable successes in application of Lean/Six Sigma.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.