Senior Process Improvement Professional

Job description

**This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Process Improvement Professional based in the United States.** As a Senior Process Improvement Professional, you will lead initiatives that strengthen healthcare operations and improve outcomes for members receiving long-term services and supports. You’ll analyze complex workflows, identify root causes, and design sustainable solutions that improve efficiency, quality, compliance, and overall member experience. The role partners closely with care management, utilization management, quality, reporting, provider, and compliance teams. You’ll use operational data and performance insights to guide decisions, measure results, and identify opportunities for continuous improvement. You’ll also help translate regulatory and program changes into practical operational processes and workflows. This is a remote, cross-functional role offering meaningful ownership and the opportunity to influence healthcare delivery at scale. ### Accountabilities: - Analyze LTSS operational workflows to identify opportunities to improve efficiency, quality, regulatory compliance, member outcomes, and contract performance. - Partner with Care Management, Utilization Management, Quality, Reporting, Provider, Compliance, and other teams to redesign and implement effective operational processes. - Develop standardized workflows, policies, procedures, audit tools, process documentation, and operational resources supporting LTSS programs. - Monitor contract and regulatory requirements and coordinate operational changes needed to maintain compliance. - Conduct root cause analyses of operational issues, performance gaps, audit findings, grievances, appeals, and quality concerns. - Analyze reporting and performance data to identify trends, develop actionable recommendations, and measure the effectiveness of process improvements. - Facilitate process mapping, workflow redesign, training, and change management initiatives across multiple business functions. - Support state-directed initiatives, regulatory changes, EVV-related processes, assessment requirements, and other LTSS program enhancements. - Develop KPIs, monitoring tools, and performance measures to evaluate operational effectiveness and process outcomes. - Research industry best practices and emerging trends across Medicaid, HCBS, LTSS, care coordination, and healthcare quality improvement. - Prepare presentations, reports, and executive summaries that communicate findings, recommendations, project progress, and performance metrics to leadership and key stakeholders. - Serve as a subject matter resource for continuous improvement methodologies and operational excellence initiatives. ### Requirements - Bachelor’s degree required. - At least 3 years of experience in process improvement, healthcare operations, quality improvement, project management, or a related discipline. - Professional experience within healthcare, managed care, Medicaid, LTSS, HCBS, or population health environments. - Demonstrated ability to interpret operational and performance data and translate insights into effective business decisions. - Proven experience analyzing business processes, identifying root causes, and implementing improvements that enhance performance, efficiency, and quality. - Advanced proficiency with Microsoft Office applications, particularly Excel and PowerPoint. - Excellent written and verbal communication skills, including the ability to present process improvement opportunities, project updates, and performance results to leadership. - Strong project management, analytical, organizational, and problem-solving capabilities. - Ability to collaborate effectively with cross-functional stakeholders and manage multiple initiatives simultaneously. - Must reside in Michigan or within a 40-mile radius of the Michigan border in Ohio or Indiana. - A master’s degree in healthcare administration, business administration, public health, or a related field is preferred. - Lean, Six Sigma, PMP, or another relevant process improvement certification is preferred. - Experience with Michigan Medicaid and LTSS programs is preferred. - Knowledge of Michigan HCBS waiver requirements and applicable regulatory standards is preferred. - Experience supporting state contract compliance, audits, or quality improvement initiatives is a plus. ### Benefits - Annual salary range of **$78,400–$107,800**, with individual compensation varying based on location, experience, education, certifications, skills, and other job-related factors. - Eligibility for a performance-based bonus incentive plan. - Remote work arrangement with occasional business travel. - Up to 10% travel, including periodic visits to a Michigan office for team engagement, collaboration, training, and meetings. - Monday–Friday schedule, generally **8:00 AM–5:00 PM Eastern Time**. - Medical, dental, and vision insurance benefits. - 401(k) retirement savings plan. - Paid time off, company holidays, and personal holidays. - Paid parental and caregiver leave. - Short-term and long-term disability coverage. - Life insurance. - Additional benefits and resources designed to support whole-person wellbeing. - Remote-work support requiring a dedicated workspace and reliable internet connection suitable for secure handling of protected health information.