Process Management
Process Management
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Salary Not Disclosed
1 Vacancy
Job Description
Position: Business Process Management /Network Oversite
Location: Reston VA #REMOTE
Duration: 12months #C2H
Job Description:
This role supports the oversight and optimization of pharmacy network operations. Responsibilities include:
- Monitor key performance metrics such as claims volume turnaround times network adequacy and member satisfaction.
- Support credentialing re-contracting and termination processes across all network pharmacy providers.
- Ensure alignment of network operations with contractual regulatory and service-level standards.
- Coordinate with internal stakeholders to address network performance concerns and ensure resolution.
PURPOSE:
- This position will play a key role in delivering on all aspects of enterprise wide cross functional process management initiatives including developing process architecture and hierarchy process transformation process automation and reengineering.
- The incumbent will function as a champion of process improvement methodologies and implementation throughout the organization.
- This individual will help drive the measurement of business effectiveness research business processes and practices and analyze process data to develop and implement sustainable repeatable and quantifiable operational and strategic process improvement.
- This individual will be part of the BPM center of excellence team that will drive process improvement initiatives and bring efficiency effectiveness and a culture of continuous improvement to the organization.
Top 5 Mandatory Skills Required:
- Network performance analysis Monitoring access disruptions trends and service quality.
- Provider relationship management Engaging with pharmacy networks and resolving escalations.
- Data-driven decision making Using performance data to guide contracting retention and outreach.
- Operational optimization Driving improvements in network access satisfaction and cost efficiency.
- Cross-functional collaboration Coordinating with stakeholders across business operations and regulatory teams.
Required:
- Bachelors Degree (Business Management or related field)
- 10 years relevant business process specialization (i.e. business process management consulting or other applicable business process transformation experience).
- Skill in analyzing and organizing technical data Expert
- Proficient in Microsoft Office programs. Advanced
- Knowledge of web based applications and documentation tools. Expert
- Excellent communication skills both written and verbal. Expert
- Certified in Business Analysis -PMI
- CSSBB - Six Sigma Black Belt BPMI Certification
ESSENTIAL FUNCTIONS:
40% Develop industry standard best practices for process management innovation and continuous improvement across the enterprise
25% Develop framework to align process architecture with strategic business capabilities and govern linkages. Ensures that policies and procedures align with corporate vision
20% Develop core program framework governance structure tools and templates for delivering cross functional process improvement initiatives
15% Manage resources (change agents and champions) within a matrix environment to lead process improvement initiatives across the enterprise. Engage in training activities with change agents and champions to develop this capability and skill set across the enterprise.
Thanks & Regards
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LAXMAN
KMM Technologies Inc.
CMMI Level 2 ISO 9001 ISO 20000 ISO 27000 Certified
Employment Type
Full-time
