Responsible for providing business process redesign, communication and change management for operations. Backend operationalization of policies, standardization of system set-up and a resource for all departments and health plans company-wide.
Participate in interviews with staff and management to assess internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other internal guidelines
Review and research information to evaluate compliancy between a process or function and the corresponding written documentation. Use analytical skills to identify variances
Document assessment outcomes and recommendations
Collaborate with the team to maintain business process documentation and workflows related to Core Operations functions
Coordinate audit walkthroughs
Research requested documentation and work in partnership with team and other functional areas as needed
High School Diploma or GED
Additional required experience for Corporate Operations:
Analytical experience within managed care operations.
Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions.
Associate's Degree or two years of equivalent experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.