Bachelor's Degree 3 plus years of previous management experience with direct reports a plus 5 plus years formal Process Improvement experience ( using Lean, Six Sigma, Re-Engineering or equivalent 10 plus years healthcare payer or provider experience preferred Knowledge of managed care operations and products (Medicaid or Medicare experience a plus); Understanding of basic financial and accounting terms; Knowledge of claims processing platforms; Experience with Provider Network Operations transactions and data Six Sigma (or Lean) Black Belt required. Master Black Belt is a bonus. Significant Large Scale Process Improvement experience required.. Proven Business Results from project initiatives worked as a Black Belt required.
As a key member of the Business Process Management Center of Excellence, drives continuous process improvement throughout the enterprise. Leads cross-functional teams and works with key stakeholders to evaluate and streamline key back-office operations processes. The Business Process Engineer is the most senior, more technically skilled of the Business Process Management/Consulting team. As such, the Engineer may oversee efforts of the Business Process Manager/Consultants and analyze and make recommendations regarding the most complex and/or expansive operations processes.
Serves as a catalyst for a culture of continuous improvement through the use of Lean philosophies and practices, as well as Six Sigma methods and process management approaches. Helps the organization adopt Process Improvement methods. Focus is on business processes and transactional operations.
The Process Engineer will:Manage Business Process projects associated with process improvement activities key focus will be on improving processes impacting Provider Data Management and back office operations.Lead transaction based project teams to successful project completion and realization of the targeted benefits.Build and develop improved operations, processes and procedures to support AmeriHealth Mercy's growth.Assess processes to determine how to reduce rework, improve quality, improve efficiency, and improve our ability to meet customer requirements.Understand and interpret customer needs/issues in defining quality and establishing quality priorities.Train, coach and mentor future Process leaders and other improvement personnel in Business Process Improvement methodology.Help develop and foster a culture of "Process Thinking throughout the organization.Facilitate a high level of employee participation on teams and in events to foster high involvement, accountability and results.Break down organizational and cultural barriers to ensure the project teams are effective in reaching project resolution.Regular interface with Senior-level executives.
Bachelor's Degree

Required

Previous management experience with direct reports

Highly desired

3

Years
Formal Process Improvement experience ( using Lean, Six Sigma, Re-Engineering or equivalent

Required

5

Years
Healthcare payer or provider experience

Highly desired

10

Years
Knowledge of managed care operations and products (Medicaid or Medicare experience a plus)

Highly desired

Understanding of basic financial and accounting terms; Knowledge of claims processing platforms

Required

Experience with Provider Network Operations transactions and data

Required

Six Sigma Black Belt required. Master Black Belt

Highly desired

Significant Large Scale Process Improvement experience

Required

Proven Business Results from project initiatives worked as a Black Belt

Required

Ability to travel up to 24%; possibility for telecommuter.

Required