Process Lead / Program Manager

Job Description

• Healthcare Experience
• Senior resource required (very strong experience) 8 + years: need to be able to dive in with little training
• Experience in Business Operational Improvement Projects
• Heavy Process Improvement 
• Leadership experience and Conflict Management

Role

• As a Process Lead / Program manager, you will be a key member of a team providing strategic solutions and evaluating processes and technologies to make business recommendations to meet Client goals and objectives. You will be responsible for coordinating, managing, and planning multiple projects and initiatives for areas across the organization to ensure on-time, on-budget program delivery.  Additionally, you will help define future business automation direction. This position will partner with business analysts and technical leads to understand the business problem and determine the appropriate methodology to deliver it.  You will be responsible for understanding the business case and ensuring the plan, schedule, resources, and overall approach meet the objectives.  The team works closely with internal and external partners to deliver key strategic projects and proof of concepts.  Innovative, analytical, energetic, and a problem solver—if this describes you, then become part of our “go-to team”!
• As part of the Operational Transformation and Intelligent Automation Team, you will work with key systems across the PBM and Retail businesses, leading automation and process improvement activities and evaluating the latest technologies to improve operations and enhance member and client satisfaction.  An ideal candidate can lead and coordinate initiatives across multiple stakeholders and teams, document and communicate the objectives and milestones of the program effectively, and understand processes from both a business and technical perspective.  Understanding, analyzing, and decrypting complex processes is key to the team’s ability to define and implement industry-leading solutions to improve the customer experience.
• Additional responsibilities of the Process Lead / Program Manager include: 
  Defines program scope, resource requirements, budget, timeline, deliverables, dependencies, milestones, and plans
  Maintains focus on program risks and interdependencies across the life cycle, making contingency plans to proactively address issues that pose risk to budget, schedule, and scope
• Engages cross-functional leaders across all business areas to determine effective Root Cause Analysis, short- and long-term solutions, and remediation. Drives results and resolves issues, including the ability to assess and course-correct as necessary.
  Facilitates internal and external meetings ensuring clear, complete, thorough, and consistent documentation of status, issues, risks, budget, key decisions, root cause and final resolution.
• Oversees the technology and vendor selection and facilitates vendor management
  Displays strong organizational skills with attention to detail, as evidenced through sound analytical skills
  Displays strong initiative, addressing issues without prompting
  Understands Business Architecture and Technical Solution Architecture, working with IT and external partners to evaluate and implement new technologies  
  Prepares and presents presentations to key leadership and stakeholders

Required Qualifications

• 8+ years of experience as a program manager, including the following:
  • 3+ years of direct or indirect leadership experience
  • 3+ years of proven experience in negotiation and conflict management at the senior executive level.
  • Experience with AI (ML, NLP, DL) and RPA technologies\Specific healthcare experience
    Process re-engineering or reliability engineering

Education

bachelor's degree in Computer Science or equivalent required. 

PMP and/or SAFe certification desired