Title: Operating Effectiveness Advisor
Location: Tucson, AZ
Payrate: $34-57 HR
Assignment Date: 08/30/2021 01/01/2023-
Hours 8am- 5pm EST 40 hours a week
Position is 100% Remote. Candidates must have reliable internet connection and work EST hours.
Cornerstone Program Summary
Today, our Medicare Advantage business is administered on multiple legacy core technology platforms that lack automation and do not support all its business requirements. This results in an unfavorable administrative cost position and an overly complex operating model that, if not addressed, will create potential compliance risk and impede growth.
Given the importance of Medicare Advantage growth to our enterprise success, we are embarking on a multi-year commitment – called Project Cornerstone – to move that business from multiple platforms to a single modern claims administration technology, and align processes that will ultimately improve competitiveness with the market, drive long-term affordability, and enable us to scale reliably to support growth.
As an enabler of Enterprise Strategic Priority #3 (Medicare Advantage Growth), the Cornerstone program will drive a competitive administrative cost structure while delivering consistent, compliant operational performance. This will be accomplished through the implementation of a new operating model – transformation across people, process, and technology.
The Cornerstone Process Analyst is responsible for supporting the definition of process optimization that meets business needs to enable efficient and scalable growth. They partner with the Process Engineers to manage workshop schedules, stakeholders and administrate working sessions to drive future state design of workflows and processes.
This individual will be responsible for supporting design within each Agile Release Train (ART) including Enrollment, Fulfillment, Provider, Claims, Billing and Reconciliation, and Agent Experience. This individual partners with other Process Analysts to ensure continuity of best administrative and engineering practices across the ARTs. Day to day work includes attending ART stand ups, scheduling, administrating and participating is working sessions with stakeholders, collecting and distributing working session notes and actions, updating the Agile system of record. Stretch opportunity includes facilitating working sessions and driving process design, leading Agile demonstrations of accomplished work.
Ensure continuity of Optimization Guiding Principles, Templates & Inventory Framework
Understand business case for prioritization and value capture
Collaborate with Process Engineers on optimization timeline, and schedule optimization working sessions
Collect and distribute working session notes and updated artifacts
Update Agile work tracking system (Rally/Jira) as proscribed to reflect work progress
Contribute to the definition of data inputs; including assessing data inputs & Documenting clarifying questions and answers
Partner with Process Engineers and Analysts across the ARTs in work practice and approach
Medicare and Medicaid operations experience with background in health plan core admin, government programs preferred
Experience in project and team management from idea generation and chartering thru implementation and post project evaluation
Ability to Lead, coordinate and partner with the business to design and operationalize new / improved business processes; drive stakeholders to consider all possibilities and move beyond current thought processes
Strong business acumen, with proven ability to leverage knowledge base to quickly come up to speed in new business areas and new types of projects
Rally and/or Jira experience
Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards).
Proven results of building and creating new solutions through the use of creativity and innovation
Able to prioritize work and manage conflict
Resilience and resourcefulness
Lean Six Sigma Green Belt certification, or evidence of continuous improvement project delivery in lieu of certification.
English Read Write Speak
Job Types: Full-time, Contract
Pay: $34.00 – $57.00 per hour
Work Location: Remote
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