Elevance Health
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Process Improvement Director
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Elevance Health 1 week ago Be among the first 25 applicants Join to apply for the
Process Improvement Director
role at
Elevance Health The Process Improvement Director will be responsible for identifying opportunities for improvement, developing and implementing best practice and continuous improvement initiatives for a business unit. Generate process improvements that bring about measurable improvement in quality and/or efficiency. Contribute to achieving the department's objectives by serving as key contact for researching and implementing solutions and tools for new systems and other key operational improvements and providing guidance to leads, process experts, associates, and/or managers on process improvement issues. Represent the department on process improvement teams, special projects, and implementation of new process improvement initiatives such as Paper Claims Oversight Processes, Accumulate error reconciliation Processes, ServiceConnect Integration, and PG tracking and reporting. Conduct discovery and implement process improvement initiatives within the department. Interview leads within the team and identify process improvement opportunities. Establish the process improvement framework and provide pharmacy claims, Accums, and new client implementation business domain expertise to guide the team in implementing relevant initiatives. Lead the training of associates when new processes or procedures are implemented. Establish capacity models and dashboards to track efficiency of claims processing units. Develop regular cadence with vendor partners to ensure lessons learned are reviewed and incorporated for areas such as claims, member data transition, user access provisioning, data interfaces, and other claims business operation functions. Generate dashboard and reports for management on process improvements and tracking the savings established from the improvements. Manage and maintain SharePoint and MS Teams applications for the organization including workflow management. Develop and manage tableau reports for the department. Perform the role of the automation lead by developing business process automation initiatives for PBM (Pharmacy Benefit Management) Operations Functions. Collaborate with cross-functional teams in the identification, research, and implementation of process improvements. Lead projects of significant scope. Manage internal and external process improvement projects with team members who work across regional and enterprise-wide organizational structures and with external parties (providers and trade organizations) to formulate consensus on improvements and to implement internal and external systems, policies, and procedures. Minimum Requirements: Bachelor’s degree in Information Technology, Computer Science, Electronics Engineering, or a related field. Five (5) years of Information Technology (IT) experience, or related. Five (5) years of required IT, or related experience must include: Five (5) years of experience with integrating SQL scripts and SQL queries into Python for complex data analysis and process automation. Five (5) years of experience with designing user-friendly GUI tools and applications using Python to automate business processes. Five (5) years of experience with authoring business requirements and use cases. Five (5) years of experience with developing acceptance testing strategies and executing both manual and automated user acceptance testing. Five (5) years of experience with working with a suite of mainframe applications and developing automation tools within a mainframe environment. Four (4) years of experience with developing automation tools for web scraping and processing online forms, implementing complex business requirements with Python and Selenium. Three (3) years of experience performing advanced data analysis on pharmacy and medical claims, accumulators, and benefits data using Python-based data science tools. Two (2) years of experience with data visualization, creating charts, graphs, maps, dashboards, and narratives for business decision-making using Python and Tableau. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Management and Manufacturing Industries Movies, Videos, and Sound Referrals increase your chances of interviewing at Elevance Health by 2x Get notified about new Process Director jobs in
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Process Improvement Director
role at
Elevance Health 1 week ago Be among the first 25 applicants Join to apply for the
Process Improvement Director
role at
Elevance Health The Process Improvement Director will be responsible for identifying opportunities for improvement, developing and implementing best practice and continuous improvement initiatives for a business unit. Generate process improvements that bring about measurable improvement in quality and/or efficiency. Contribute to achieving the department's objectives by serving as key contact for researching and implementing solutions and tools for new systems and other key operational improvements and providing guidance to leads, process experts, associates, and/or managers on process improvement issues. Represent the department on process improvement teams, special projects, and implementation of new process improvement initiatives such as Paper Claims Oversight Processes, Accumulate error reconciliation Processes, ServiceConnect Integration, and PG tracking and reporting. Conduct discovery and implement process improvement initiatives within the department. Interview leads within the team and identify process improvement opportunities. Establish the process improvement framework and provide pharmacy claims, Accums, and new client implementation business domain expertise to guide the team in implementing relevant initiatives. Lead the training of associates when new processes or procedures are implemented. Establish capacity models and dashboards to track efficiency of claims processing units. Develop regular cadence with vendor partners to ensure lessons learned are reviewed and incorporated for areas such as claims, member data transition, user access provisioning, data interfaces, and other claims business operation functions. Generate dashboard and reports for management on process improvements and tracking the savings established from the improvements. Manage and maintain SharePoint and MS Teams applications for the organization including workflow management. Develop and manage tableau reports for the department. Perform the role of the automation lead by developing business process automation initiatives for PBM (Pharmacy Benefit Management) Operations Functions. Collaborate with cross-functional teams in the identification, research, and implementation of process improvements. Lead projects of significant scope. Manage internal and external process improvement projects with team members who work across regional and enterprise-wide organizational structures and with external parties (providers and trade organizations) to formulate consensus on improvements and to implement internal and external systems, policies, and procedures. Minimum Requirements: Bachelor’s degree in Information Technology, Computer Science, Electronics Engineering, or a related field. Five (5) years of Information Technology (IT) experience, or related. Five (5) years of required IT, or related experience must include: Five (5) years of experience with integrating SQL scripts and SQL queries into Python for complex data analysis and process automation. Five (5) years of experience with designing user-friendly GUI tools and applications using Python to automate business processes. Five (5) years of experience with authoring business requirements and use cases. Five (5) years of experience with developing acceptance testing strategies and executing both manual and automated user acceptance testing. Five (5) years of experience with working with a suite of mainframe applications and developing automation tools within a mainframe environment. Four (4) years of experience with developing automation tools for web scraping and processing online forms, implementing complex business requirements with Python and Selenium. Three (3) years of experience performing advanced data analysis on pharmacy and medical claims, accumulators, and benefits data using Python-based data science tools. Two (2) years of experience with data visualization, creating charts, graphs, maps, dashboards, and narratives for business decision-making using Python and Tableau. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Management and Manufacturing Industries Movies, Videos, and Sound Referrals increase your chances of interviewing at Elevance Health by 2x Get notified about new Process Director jobs in
Los Angeles, CA . Beverly Hills, CA $120,000.00-$175,000.00 3 weeks ago Los Angeles, CA $310,000.00-$830,000.00 2 weeks ago Santa Monica, CA $170,000.00-$215,000.00 2 weeks ago Los Angeles, CA $180,000.00-$200,000.00 14 hours ago Los Angeles County, CA $90,000.00-$100,000.00 3 weeks ago Los Angeles, CA $115,000.00-$135,000.00 3 weeks ago Beverly Hills, CA $120,000.00-$148,000.00 1 week ago Executive Director, Corporate Partnerships
Director of Project Management Office (PMO)
Los Angeles Metropolitan Area 4 weeks ago Los Angeles, CA $125,000.00-$165,000.00 3 weeks ago Director, Small Molecule Process Development
Los Angeles Metropolitan Area $120,000.00-$140,000.00 4 weeks ago Los Angeles, CA $140,000.00-$170,000.00 2 weeks ago Director, Small Molecule Process Development
Simi Valley, CA $121,576.00-$173,992.00 1 week ago Associate Director, Studio Strategy and Operations - Activision
Santa Monica, CA $143,060.00-$264,846.00 1 day ago Hotel Director of Operations (multi-property)
Chatsworth, CA $150,000.00-$170,000.00 1 day ago Director, Small Molecule Process Development - Thousand Oaks, CA
Thousand Oaks, CA $199,180.00-$225,807.00 2 weeks ago Beverly Hills, CA $135,000.00-$202,500.00 1 month ago Hotel Director of Operations (multi-property)
Santa Clarita, CA $150,000.00-$170,000.00 1 day ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr