Centene
healthcare
Sr.PaymentIntegritySpecialist-Governance
Neural analysis suggests this role is
optimal for Senior candidates.
“Sr. Payment Integrity Specialist - Governance at Centene. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement, project management. Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale, complex, cross-functional initiatives.. Drives strategi”
Industry & Context.
translating business pain points into strategic recommendations; identify and proactively respond to stakeholder business problems
What They're Looking For.
Must Have
7+ years experience managing, leading projects within a consulting, healthcare, and or related sectors required
Nice to Have
Master's Degree in a related field preferred, Certified Project Management Professional (PMP)-PMI preferred, Process quality certification preferred
What You'll Do.
Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale
cross-functional initiatives.
Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions.
Mentors junior team members on duties and responsibilities with supervision from leadership.
Leads all levels of staff who are responsible for initiatives included in the companies operating plan in order to support their success
development and effective completion and communication of their initiative.
Oversee the pipeline of business cases and prioritize them based on strategic value
and available capacity.
Ensure consistent methodology and rigor in business case development across all teams
providing quality assurance and coaching to Senior Business Process Consultants.
Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives.
Leads engagement and communications with senior and executive stakeholders
translating business pain points into strategic recommendations and ensures successful execution towards plan.
Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems.
cross-functional initiatives that are intended to drive performance improvement
customer satisfaction and improved compliance.
Provides strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results.
drives consensus and ensures end to end policy/process integrity to accomplish project work: including identification and confirmation of participants
consistent work team engagement and productivity
recommendation documentation and implementation oversight.
Assists functional and project leaders in areas as needed such as facilitation
project management issues
Writes and delivers communication to all levels of organization to ensure support
awareness and effectiveness of process improvement initiatives.
Provides other related support as needed to improve the performance of the business.
Performs other duties as assigned.
Complies with all policies and standards.
How You'll Work.
Team & Collaboration
Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems.; Organizes work teams, drives consensus and ensures end to end policy/process integrity to accomplish project work: including identification and confirmation of participants, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.; Assists functional and project leaders in areas as needed such as facilitation, analysis, process mapping, brain-storming, project management issues, etc.
Communication Scope
Writes and delivers communication to all levels of organization to ensure support, awareness and effectiveness of process improvement initiatives.; engagement and communications with senior and executive stakeholders
Process & Methodology
managing, leading projects, project management issues, project management
Full Job Description
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale, complex, cross-functional initiatives. Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions. Involved in team level development activities, such as training, mentoring, and tracking department metrics. * Mentors junior team members on duties and responsibilities with supervision from leadership. Leads all levels of staff who are responsible for initiatives included in the companies operating plan in order to support their success, development and effective completion and communication of their initiative. * Oversee the pipeline of business cases and prioritize them based on strategic value, interdependencies, risk appetite, and available capacity. * Ensure consistent methodology and rigor in business case development across all teams, providing quality assurance and coaching to Senior Business Process Consultants. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives. * Leads engagement and communications with senior and executive stakeholders, translating business pain points into strategic recommendations and ensures successful execution towards plan. * Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems. * Leads larger scale, cross-functional initiatives that are intended to drive perform
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