Process Consultant

4 weeks ago

Pasay, National Capital Region, Philippines TASQ Staffing Solutions Full time

Work Setup: Onsite (MOA Pasay)

Shift: GY Shift

Responsibilities:

  • Process Transformation: Conduct process deep dives, create process maps, identify improvement opportunities, develop and implement transformation roadmaps for in-scope processes. Identify opportunities for automation, analytics, and data science solutions to enhance efficiency, quality, experience, and health outcomes.
  • Business Acumen and Strategic Alignment: Align process improvements with organizational objectives and customer needs. Closely work with cross-functional teams, motivating operations team to adopt new processes while effectively managing resistance to change. Focus on delivering measurable financial results while maintaining a positive cost-benefit ratio.
  • Collaboration with Operations Leaders and Clients:
    - Ensure process metrics and KPIs meet best-in-class standards with defined roadmaps
    - Conduct deep dives to identify bottlenecks and improvement opportunities
    - Develop and propose solutions, create business cases, and secure stakeholder approval
    - Deploy approved solutions within agreed timelines and budgets 
  • Communication and Collaboration: Engage diverse stakeholders (clinicians, administrators, patients) with excellent communication skills. Synthesize complex data into actionable insights and present them clearly.

Qualifications:

  • Must be a Six Sigma Black belt certified
  • Bachelors degree in any discipline; MBA preferred
  • 5+ years overall experience with at least 3 years experience with driving transformation programs using process re-engineering, automation, analytics, data science solutions
  • Minimum 2+ years experience working in the US healthcare market with a focus on administrative clinical processes
  • Experience working with transformation teams of business / process consultants, RPA developers, analytics and data science professionals
  • Demonstrated track record with change management, value delivery in terms of top-line/bottom-line improvement, experience, quality, accuracy, business outcomes

Preferred experience (good to have):

  • Experience working in clinical processes (prior authorization, utilization management, utilization review, etc.) within the US healthcare market
  • Experience working in contact centre operations

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