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Health Plan/Payer Lean Six Sigma Architect - Customer Service Operations

Medica
Minnetonka, MN Full Time
POSTED ON 3/19/2025 CLOSED ON 4/17/2025

What are the responsibilities and job description for the Health Plan/Payer Lean Six Sigma Architect - Customer Service Operations position at Medica?

Description

Health Plan / Payer Lean Six Sigma Architect collaborates closely with cross-functional leaders, vendors and employees at all levels.

We have adopted a holistic approach to Lean Six Sigma where we identify Process Owners for ongoing continuous improvement in 7 key Value Streams. Each Value Stream is supported by a Black and Green Belt that evaluates, documents, designs, manage and monitors the end-to-end processes and underlying systems through the continuous application of Lean principles. Plays a leading role in transitioning to implementation to ensure changes stick, using skills in project management and organizational change management (OCM).

This particular role is for the Customer Service Operations Value Stream. This role partners heavily and is an embedded / valued resource for our customer service operations team.

Value Streams

  • Customer Service Operations
  • Provider Network Contracting
  • Sales
  • Clinical Services
  • Enrollment, Billing & Reconciliation
  • Product
  • Claims

Qualifications :

  • Bachelor's degree or equivalent experience in related field, plus 5 years of related work experience beyond degree within continuous improvement, business process management (BPM), health plan operations, etc.
  • Mastery over all Six Sigma concepts and tools including Value Stream Mapping, Kaizen events, A3, Kanban boards, 5 Whys, FMEA, etc.
  • Proven leadership ability across large cross functional teams required
  • Continuous improvement and implementation experience required
  • Health Plan / Payer experience required
  • Hands-on change management experience preferred
  • Required License / Certification :

  • Lean Six Sigma Green Belt required
  • Skills and Abilities :

  • Client focused program, project, and process management experience including operational and cross-functional workflows
  • Proven ability to formulate content and present clearly both internally and externally
  • Experience creating, building and leading cross functional teams from conception through implementation
  • Advanced level of proficiency with Microsoft Teams, Visio, PowerPoint, SharePoint and / or Teams
  • This position is a Remote role and will work remotely 100% of the time. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

    This position is a Remote role. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

    The full salary range for this position is $87,100 - $149,300. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and / or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

    The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

    Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity / Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

    Salary : $87,100 - $149,300

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