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Principal Process Consultant - Claims - Remote Available

Company: Centene Corporation
Location: Tucson
Posted on: September 24, 2022

Job Description:

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.Applicants for this position have the flexibility to work remotely.Position Purpose: The Claims Principal Process Consultant is a senior level individual thought leader who will drive simplification and standardization across divisions of Centene and develop our process architecture and ownership consulting practice. This role will navigate process simplification to drive year-over-year KPI improvements across our nationwide portfolio of health plans and platforms. Executive presence and emotional intelligence are essential capabilities the Consultant will use to collaborate at all levels of the organization. They may develop peer relationships with Directors, Senior Vice Presidents, and other Senior Leaders as a participant in process governance for Claims.You will own the outcomes and maturation of an end-to-end provider & member-facing process intended to accurately pay millions of claims per week serving 1 in 15 Americans. As you lead simplification between our receipt of a claim or encounter through EDI or paper through accurate payment, communication, and accumulation, you will play a key role in improving the US health care system. You will work in a tightly focused team with executive process owners and the three process consultants focused on major phases of the claims life-cycle.As a master facilitator, you will develop others and lead highly complex or sensitive collaborative events, likely to include highly confidential future state planning. In addition to collaboration with operations and health plan stakeholders, you may also partner with technology architects, product owners, and development teams to obtain automation support for the process vision the architecture and ownership team has cast.Your impact will foster a reputation as a trusted advisor at all levels of the organization. Your ability to answer the Why questions for any new process recommendation and help stakeholders through the What-About questions they need to understand builds trust. That trust drives the adoption of new simplified operating models.Education/Experience: A minimum of 9 years of relevant experience in driving process transformation and simplification within a large corporate environment. Experience facilitating of distributed team process workshops. Operating model design and merger integration experience within a managed care environment highly preferred. Demonstrated understanding of business process as it relates to automated, customer self-service, and manual processing in the end-to-end environment described in position responsibilities across Centenes ecosystems or at other managed care industry payers strongly preferred. This job requires thought leadership in process and policy redesign, where the work is frequently ambiguous and not envisioned in formal procedures or guidelines. This is a policy making role within the end-to-end process and is accountable to simplify and mature. A Master's degree in a quantitative or business field (e.g., business Administration, statistics, mathematics, engineering, economics) science). Bachelors in Business, Health Care Management, Economics, or related field. Or in lieu of education and experience, demonstrated work experience and accomplishments applicable to the level, duties and scope of this role.License/Certification: ASQ CMBB; ASQ CSSBB; Shingo Gold, Certified Lean Master Black Belt, Certification in one or more enterprise architecture practices preferred.Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.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.TITLE: Principal Process Consultant - Claims - Remote AvailableLOCATION: Tucson, ArizonaREQNUMBER: 1340847

Keywords: Centene Corporation, Tucson , Principal Process Consultant - Claims - Remote Available, Professions , Tucson, Arizona

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