Senior Process Expert - Automation

About This Role

This Senior Process Expert - Automation will support multiple operations departments by researching workflow problems, developing process improvement solutions for new systems and accounts, and leading project plans. The role involves providing process direction and decision-making for various project work.

Responsibilities

• Research operations workflow problems and system irregularities
• Develop, test, and present process improvement solutions for new systems, new accounts, and other operational improvements
• Develop and lead project plans and communicate project status
• Provide process direction and decision making for all minor and major project work
• Provide guidance to process experts

Requirements

• BA/BS degree or equivalent experience
• Minimum of 8 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation

Qualifications

• BA/BS
• 8+ years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing)

Nice to Have

• Demonstrated experience in Agile methodologies and practices
• Expert level Python, SQL experience (ability to write/review Python code to develop and debug complex software solutions)
• Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements
• Independent project management skillset and product ownership
• Ability to work in a fast-pace environment with strict deadlines
• Ability to communicate effectively with multiple levels within the organization
• Working knowledge of cloud platforms such as AWS, GCP/CDP or Azure
• Pharmacy Benefit Management Experience
• Claims Experience
• Experience reviewing data in Data warehouses

Skills

* Required skills

Benefits