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Job Posting Title

Director, Process Improvement - Remote

Job Description Summary

Drives operational improvement leveraging state-of-the-art process improvement tools and techniques, including Lean Six Sigma. This includes process mapping, improvement opportunity identification and prioritization, project oversight and facilitation, and change management. Manages Continuous Quality Improvement (CQI) program, driving continuous improvement throughout network operations and ensuring a robust controls environment, including Sarbanes-Oxley compliance. Oversees the ongoing sanctions monitoring function for Network. Interfaces with all areas within Network, IT, Clinical Network, Finance, Legal, and Quality.

Job Description

• Leads process improvement initiatives across lines of business, leveraging Lean Six Sigma (LSS) and other applicable tools and methodologies.

• Champions fact-based decision-making and promotion of best practices and standardization.

• Focuses on efficient processes and systems.

• Acts as a change agent within the enterprise to ensure success of process improvement initiatives.

• Oversees internal CQI program. Ensures quality monitoring program remains robust, statistically sound, accounts for organizational risk, and complies with Sarbanes-Oxley and other organizational controls obligations.

• Ensures ongoing collaboration with functional areas and training to drive a continuous improvement cycle.

• Manages the national ongoing monitoring and reporting program and related staff.

• Works with local sites, corporate, and legal departments ensuring compliance with state and accrediting body standards. Liaisons with clinical and legal pertaining to provider sanctions and quality issues.

• Coordinates reporting of actions to appropriate boards.

• Facilitates cross-operational initiatives, including Accreditation- and Certification-related initiatives (including Lead for NCQA CVO Certification), regulatory/compliance initiatives, RFPs and new business implementations, and collaboration among functional areas to drive collaboration and efficiencies.

• Responsible for interviewing, hiring and managing staff. Defines, with Senior Management, the responsibilities of the department staff and ensures that responsibilities are met in accordance with job definitions.

• Provides regular feedback to staff regarding individual quality and productivity to established benchmarks.

• Coaches staff to improve work performance.

Responsibilities

• Excellent organizational, interpersonal, time management and communication skills.

• Strong leadership skills.

• Strong independent decision-making ability.

• Process and project management ability.

• Strong influencing, negotiation and analytical skills; detail oriented; Customer/Team Advocate; Flexibility; Positive Attitude.

• Team Player and Problem Solver.

• Ability to manage multiple tasks simultaneously.

• Initiator and Change Agent.

• Can be an effective coach and leader.

• Is a risk taker and a visionary strategic thinker.

• Strong working knowledge of MS Office products.

• 8 years' quality, process improvement, and/or operations experience with demonstrated experience in project management, data analyses and knowledge of process improvement methodologies.

• 3-5 years' supervisory experience or managed care/network management experience.

• Experience with accrediting body compliance preferred.

Work Experience

Work Experience - Required:

Management/Leadership, Process Improvement, Quality

Work Experience - Preferred:

Education

Education - Required:

Bachelors - Business Administration

Education - Preferred:

Certifications

Certifications - Required:

Certifications - Preferred:

LSSBB - Lean Six Sigma Black Belt Certification - Enterprise - Enterprise, LSSGB - Lean Six Sigma Green Belt Certification - Enterprise - Enterprise

Potential pay for this position ranges from $109,480.00 - $186,120.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.