Sr Manager Process Excellence ( Chicago)

Job ID: JY-1018203 Description:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can email us here to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".

Job Purpose:

This position is responsible for the SDO (Service Delivery Operations) process improvements in any of the following areas: eligibility, enrollment & billing, claims administration and member/provider services across one or more lines of business. Partnering with operational process owners to establish strategic goals and process measures. Modifying, monitoring, continually improving, and standardizing in-scope processes to achieve best-in-class efficiency, timeliness, quality and overall maturity. Working directly with senior leaders to define linkages between strategic objectives and process improvements using both analytical tools and consulting techniques to help functional teams re-imagine new or existing operations to build and execute roadmaps.

Required Job Qualifications:

  • Bachelor degree and 6 years of experience in business process reengineering, process improvement or process management & optimization OR 10 years of experience in business process reengineering, process improvement or process management & optimization
  • Experience managing and developing expert teams.
  • Management experience.
  • Experience in using data and analytics to identify opportunities, and drive improvements.
  • Experience with Lean and/or Six Sigma transformation philosophies, principles, tools, and techniques.
  • Clear and concise verbal and written communication skills.
  • Facilitation skills.
  • Experience training service operations process participants in process improvement methodologies.
  • PC proficiency with Microsoft applications including Access, Excel, Word and Power Point.

Preferred Job Qualifications:

  • HEALTHCARE INSURANCE EXPERIENCE HIGHLY PREFERRED
  • Bachelor degree in a science, technology, engineering or math field.
  • Master degree.
  • Service operations experience in Call Center, Claims, etc.

LOCATED IN OUR CHICAGO, IL or Richardson, TX office*

Relocation provided

LI-POST

  • CA

Requirements: Expertise Other Job Type Full-Time Regular Location TN - Brentwood, NM - Chama, TX - College Station, TX - Sachse, MA - North Andover, IL - Oakbrook Terrace, NM - Santa Rosa, CO - Greeley, NC - Durham, TX - Houston, NM - Moriarty, IL - Aurora, NM - Magdalena, TX - Cactus, IL - Danville, NM - Grants, GA - Gainesville, NM - Gallup, OK - Oklahoma City, MT - Bozeman, NM - Sierra County, NM - Clayton, TX - Abilene, MA - Braintree, TX - Richardson, CA - Walnut Creek, NM - Silver City, IL - Quincy, NC - Cornelius, TX - Harlingen, IL - Downers Grove, NM - Lordsburg, CA - San Jose, IA - Marshalltown, NM - Farmington, NM - Deming, NM - Vaughn, VA - Richmond, OK - Tulsa, PA – Conshohocken, NM - San Miguel County, MO - St. Louis, TN - Chattanooga, TX - Palestine, NM - Cuba, TX - Fort Worth, MT - Great Falls, NE - Omaha, WV - Wheeling, CA - Oakland, NM - Santa Fe, MI - Royal Oak, IL - Rockford, NM - Socorro, OR - Lake Oswego, NM - Las Vegas, TX - Waco, IL - Fairview Heights, GA - Atlanta, NM - Jemez Springs, US-AR-Fayetteville, NM - Taos, TX - Amarillo, TX - Mt. Pleasant, NM - Tatum, MD - Owings Mills, NM - Estancia, TX - El Paso, NC - Huntersville, NM - Truth or Consequences, IL - Springfield, NM - Roswell, CA - Irvine, NM - Las Cruces, NM - Hobbs, PA - Jessup, IL - Waukegan, NM - Jal, GA - Athens, IL - Jacksonville, TX - Austin, US-AR-Fort Smith, NM - Socorro County, MT - Butte, TX - Midland, NM - Springer, TX - Wichita Falls, TX - Hallettsville, NY - Pittsford, MN - Bloomington, TX - Marshall, NM - Los Alamos, IL - Chicago, NJ - Roseland, MT - Kalispell, KY - Louisville, TX - Tyler, NM - Tucumcari, FL - Tampa, NM - Ruidoso, CA - El Segundo, NM - Carlsbad, TX - Beaumont, WI - Green Bay, IL - Lombard, TX - Lufkin, NM - Hurley, IN - Carmel, MT - Billings, TX - Lubbock, NY - New York, MI - Southfield, PA - Dunmore, TX - Victoria, NM - Lovington, IL - Champaign, MT - Helena, NH - Concord, TX - Temple, NM - Abiquiu, DC - Washington, GA - Ellijay, CA - Glendale, IL - Marion, NM - Reserve, WV - Moorefield, TX - Corpus Christi, PA - Wexford, PA - Pittsburgh, IN - Indianapolis, NM - Alamogordo, NC - Raleigh, NM - Hagerman, OH - Cleveland, MN - Worthington, TX - Laredo, NM - Portales, IL - Buffalo Grove, TX - Cuero, NM - Belen, CT - Farmington, AR - Little Rock, NM - Clovis, NC - Charlotte, NE - Grand Island, TX - San Antonio, IL - Mattoon, NM - Quemado, NM - Grant County, TX - Dallas, WA - Kirkland, NM - Fort Sumner, KS - Overland Park, PA - Souderton, MN - Minneapolis, NM - Artesia, NM - Raton, IL - Belleville, TX - Lacy Lakeview, OH - Cincinnati, MN - Eden Prairie, TX - Gonzales, TX - San Angelo, NM - Carrizozo, CO - Greenwood Village, MI - Plainwell, MT - Missoula, NM - Albuquerque, IL - Naperville, NM - Mountainair, WA - Seattle, NM - Espanola, TX - Edinburg, CA - Carlsbad, AZ - Mesa, NM - Eunice, TX - Nacogdoches, SC - Sumter, LA - Metairie


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Claims Examiner

Rosa works to process claims that stop due to system edits—researching the edits, correcting the errors, and completing the claims to help members and providers get paid.


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