Leads comprehensive evaluation of current state experiences, business outcomes, gaps, and problem root causes
Develops future state designs with a comprehensive short-term and long-term roadmap focused on different levers of transformation, such as process elimination/simplification, analytics, advanced automation, technology, and digital solutions
Conducts cost/benefit analysis
Drives efficiency improvements related to speed, quality, and simplification by eliminating rework, reducing and automating manual work and hand-offs
Identifies and implements best practices across business units
Uses a consultative approach towards transformation by partnering with business stakeholders as well as various delivery teams across the organization to deliver the future state roadmap
Builds collaborative partnerships across multiple different teams within the organization

Requires a BA/BS in a related field and minimum of 5 years process or project related experience
Six Sigma certification or CURES methodology/certification preferred
Experience with Claims within (Medicaid, Medicare, Commercial) Strongly preferred
Payment Integrity experience preferred
Strong data analysis experience preferred

Business Change Manager

Key skills