Work Setup: Onsite (Cebu)
Responsibilities:
- Process Transformation: Conduct process deep dives create process maps identify improvement opportunities develop and implement transformation roadmaps for in-scope processes. Identify opportunities for automation analytics and data science solutions to enhance efficiency quality experience and health outcomes.
- Business Acumen and Strategic Alignment: Align process improvements with organizational objectives and customer needs. Closely work with cross-functional teams motivating operations team to adopt new processes while effectively managing resistance to change. Focus on delivering measurable financial results while maintaining a positive cost-benefit ratio.
- Collaboration with Operations Leaders and Clients:
- Ensure process metrics and KPIs meet best-in-class standards with defined roadmaps
- Conduct deep dives to identify bottlenecks and improvement opportunities
- Develop and propose solutions create business cases and secure stakeholder approval
- Deploy approved solutions within agreed timelines and budgets - Communication and Collaboration: Engage diverse stakeholders (clinicians administrators patients) with excellent communication skills. Synthesize complex data into actionable insights and present them clearly.
Qualifications:
- Must be a Six Sigma Black belt certified
- Bachelors degree in any discipline; MBA preferred
- 5 years overall experience with at least 3 years experience with driving transformation programs using process re-engineering automation analytics data science solutions
- Minimum 2 years experience working in the US healthcare market with a focus on administrative clinical processes
- Experience working with transformation teams of business / process consultants RPA developers analytics and data science professionals
- Demonstrated track record with change management value delivery in terms of top-line/bottom-line improvement experience quality accuracy business outcomes
Preferred experience (good to have):
- Experience working in clinical processes (prior authorization utilization management utilization review etc.) within the US healthcare market
- Experience working in contact centre operations