Process Excellence Manager Ii

Posted Date

5/31/2023

Department(s): Enterprise Project Management Office (EPMO)

Reports to: Associate Director, Process Excellence

FLSA status: Non-Exempt

Salary Grade: J - $31.25 - $51.01 ($65,000 - $106,106)

About CalOptima Health

CalOptima Health is the single largest health plan in Orange County, serving 880,000 members, or one in four residents. Our motto — "Better. Together.” — is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community’s health. If you’re looking for an opportunity to work for an organization dedicated to improving local health care and serving the needs of the most vulnerable, we encourage you to join CalOptima Health.

About The Position

The Process Excellence Manager II will support process improvement efforts by facilitating the development and implementation of standardized processes and documented requirements. Identifies performance improvement opportunities, assists with process implementation and the development of process excellence procedures to improve overall operational efficiencies. The incumbent will analyze and model existing business processes and procedures; identify areas for improvement and develop Key Performance Indicators (KPIs) and metrics. The incumbent will work closely with functional areas to provide and ensure the accessibility of data sources for program reporting and process monitoring as needed.

Duties & Responsibilities

• Trains and coaches’ teams on identifying process performance metrics and improving qualitative and quantitative efficiencies.
• Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Facilitates stakeholder meetings for program and process initiatives; coordinates with internal and external stakeholders as needed to develop and implement streamlined processes.
• Prepares and presents recommendations and findings in a visual, customer focused manner.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Analyzes business processes; gathers data, performs root cause analysis and performance trending to develop appropriate process control changes and to measure improvement efforts.
• Provides guidance and training to staff regarding process changes. Prepares materials and assists with trainings as needed.
• Collaborates with the EPMO on disseminating information, driving standardization and collaboration, and resolving interdepartmental issues.
• Participates in projects aimed at removing non-value-added activities thereby reducing waste, improving delivery and building operational efficiencies.
• Develops and documents operational and program processes, data definitions, performance metrics and reporting formats related to processes throughout the organization.
• Analyzes regulatory updates and guidelines to identify impact on processes, reporting, and policy and procedures.
• Completes other projects and duties as assigned.
• Supports the prioritization and implementation of process change requirements based on the critical and high priority project needs.

Experience & Education

• 3 years of relevant work experience including health care regulatory, managed care, compliance, process improvement and/or quality experience required.
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
• Bachelor’s degree in Business Administration or related field required.

Preferred Qualifications

• 2 years of experience in project management, health care administration or facilitation.

Physical Demands And Work Environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures.
• Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting.

About Our Benefits & Wellness Options

At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options.

CalOptima Health is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.

Tracking Code

4310-117