This link will leave wellcare.com, opening in a new window. WellCare and its subsidiaries are not responsible for non-WellCare content, privacy practices, products or services described on these websites.
Responsible for the delivery of smaller enterprise process initiatives with an expected return on investments with limited oversight. Manages initiatives through advanced skills in process management and organizational relationships. Leads initiatives and identifies opportunities to improve various business processes across the organization in an effort to understand, document and identify solutions for deficiencies in our current process and systems. Provides oversight and leadership to ensure that process initiatives are completed on time, in scope with required deliverables and ROI are met. .
Responsible for the delivery on a smaller enterprise process improvement initiatives or works with a team on larger enterprise process improvement initiatives.
Responsible for all phases of the established process. Assembles the process team, assigns individual responsibilities and guides the team through the process methodology. Becomes intimately familiar with the entire scope and requirements of the initiative. Performs research amongst leading practices and participates in problem solving and execution.
Conducts gap analysis, evaluate cost benefits analysis to support recommendations and translate business needs into system requirements.
Works with staff who has a direct relationship or an implied reporting to achieve business outcomes. Providing clear leadership and direction in a positive and professional way.
Provides guidance and leadership to a cross-functional team. Encourages collaboration while holding team members accountable. Builds effective relationships in an effort to build trust and learn the business as well technology.
Ensures process deliverables are created, maintained and meet departmental standards.
Works with business units and cross functional teams to gain an in-depth understanding of their business processes. Translate business needs into system requirements documentation and explain to the end user in an easy to understand way.
Identifies and articulates customer issues and translate them into business requirements and/or data metrics for simple as well as complex business processes.
Prepares and delivers reports, metrics, recommendations, or alternatives for improving processes in operational models and workflow procedures for stakeholders buy in.
Provides assist in the development of business valuation including Return on Investment. Promoting continuous process improvement practices through metrics/KPIs, dashboards and role accountabilities.
Acts as a change agent and strive to build unity at a time of change.
Apply project management techniques to ensure on-time, high-quality deliverables.
Performs other duties as assigned.
Additional Responsibilities:Candidate Education:
Required A Bachelor's Degree in business, healthcare, finance, communications or related field
Required 5 years of experience in Direct process improvement/business process analysis/business process engineering experience including: • Performing business analysis, • Audit reviews, • Process improvement, • Process analysis • Creating and presenting to Sr. Management • Healthcare and managed care experience
Preferred 1 year of experience in Project Management
Preferred 1 year of experience in A business process methodology environment
Preferred 1 year of experience in Financial Analysis
Preferred 1 year of experience in IT
Preferred 1 year of experience in benchmarking best practices and strategies in healthcare
Preferred 1 year of experience in Consulting in related field
Intermediate Ability to lead/manage others in a matrixed environment
Beginner Demonstrated leadership skills
Intermediate Ability to analyze information and covert related activities into a comprehensive work plan
Intermediate Ability to communicate and make recommendations to upper management
Intermediate Ability to effectively present information and respond to questions from peers and management
Intermediate Demonstrated ability to deal with confidential information
Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Intermediate Ability to multi-task
Intermediate Ability to work in a fast paced environment with changing priorities
Beginner Ability to implement process improvements
Beginner Ability to drive multiple projects
Beginner Ability to influence internal and external constituents
Beginner Demonstrated time management and priority setting skills
Licenses and Certifications: A license in one of the following is required:
Preferred Certified Business Analyst (CBA)
Preferred Certified Information Systems Auditor (CISA)
Preferred Certified Internal Auditor (CIA)
Preferred Project Management Professional (PMP)
Preferred Six Sigma Certification
Preferred Other Financial Analysis, HealthCare operations, Risk Management, Business Process/Transformation