SCOPE OF ROLE

The Director, Process Improvement is a critical part of the Bright Health Plan Operations leadership team and is responsible for supporting business process improvement initiatives that enable Bright Health Plan’s critical business objectives and priorities.  The position will provide leadership to multiple cross-functional initiatives and teams and will work with executive leadership across the organization to implement change.  The role will drive measurement of business effectiveness, research business processes, practices, and analyze process data to develop and implement sustainable, repeatable and quantifiable operational and strategic process improvements.  This individual will be responsible for transforming and in some cases establishing initial business processes across multiple markets, lines of business (Individual and Family Plans, Medicare Advantage and Employer) and functional areas (clinical, network, operations, member and provider services, etc). 

ROLE RESPONSIBILITIES

The Director, Process Improvement job description is intended to point out major responsibilities within the role, but it is not limited to these items.

• Develop Bright Health Plan process to identify and prioritize business process improvement opportunities across all BHP departments, Lines of Business and Markets that will a) reduce medical costs, b) reduce administrative costs and/or c) increase revenue.
• Lead cross-functional efforts to establish business processes, including roles & responsibilities for key business processes in newly established operations.
• Lead cross-functional efforts to document current business processes, identify gaps, recommend solutions and implement changes in areas that will enable Bright to meet its critical business objectives.
• Establish and cultivate relationships across key business execution roles in Lines of Businesses and Functional areas.
• Proactively build relationships and align stakeholders, capabilities, and resources to efficiently achieve complex objectives.
• Other duties, as assigned.

SUPERVISORY RESPONSIBILITIES

• This position will have supervisory responsibilities for members of the Health Plan Operations team.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• Bachelor’s degree required.
• Seven (7) or more years health plan operations/recoveries, and business process improvement experience from ideation to execution required.
• Advanced proficiency with Microsoft Excel and Microsoft Power Point required.
• Formal Six Sigma, LEAN or other process improvement methodology training with a Black Belt level certification required.

PROFESSIONAL COMPETENCIES

• Previous health plan operations/recoveries experience, preferably in one of more of the following areas: operations, process improvement and/or project management
• Strong collaboration skills to work with internal and external teams to effectively design solutions that meet the business needs
• Experience and strong influential skills to manage cross-functional, virtual teams
• Excellent written and verbal communication skills
• Ability to understand and identify regulatory and implementation risks and develop mitigation strategies
• Ability to perform multiple tasks and prioritize simultaneously
• Ability to perform critical analysis of complex business problems and propose appropriate solutions
• Ability to effectively engage and interact with and influence internal executive sponsors
• Advanced time management, project management, and analytical skills
• High attention to detail
• Strong analytical skills, work ethic, problem solving ability, and overall positive attitude
• Demonstrated flexibility, organization, and self-motivation
• Adaptable to change

WORK ENVIRONMENT

The majority of work responsibilities are performed remotely. Occasional work will be performed at an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Some travel may be required. Ability to lift at least 50 pounds.