Process Improvement Lead

Accountabilities: Lead process improvement initiatives: Evaluate, design, standardize, and optimize operational processes to improve efficiency, effectiveness, scalability, and stakeholder experience. Apply continuous improvement methodologies, data analysis, and root cause analysis to identify opportunities and deliver measurable results. Coordinate strategic programs and workstreams: Plan, execute, and oversee operational initiatives aligned with organizational priorities, ensuring that activities, deliverables, and milestones are completed on schedule. Manage project plans and operational readiness: Develop and maintain integrated project plans, timelines, dependencies, implementation schedules, and supporting documentation. Ensure teams, stakeholders, and processes are prepared for successful implementation and adoption. Establish and maintain governance practices: Coordinate governance meetings, document decisions, track action items and stakeholder commitments, and ensure timely follow-up to strengthen accountability and decision-making. Monitor risks and resolve operational issues: Identify execution barriers, resource constraints, dependencies, and potential risks. Coordinate mitigation efforts, facilitate issue resolution, and escalate critical concerns to the appropriate leadership teams. Develop reporting and performance insights: Prepare executive-ready dashboards, status reports, presentations, and governance materials that communicate progress, risks, outcomes, and recommendations clearly and accurately. Maintain process documentation: Create and update process maps, workflows, job aids, governance artifacts, implementation materials, and other documentation required to support consistent execution and continuous improvement. Drive stakeholder alignment and collaboration: Partner with business leaders and cross-functional teams to establish priorities, encourage accountability, influence decisions, and support the successful delivery of operational initiatives. Support change management and adoption: Lead stakeholder communications, implementation updates, and change-readiness activities to facilitate the adoption of new processes, standards, and ways of working. Promote operational consistency: Share best practices, lessons learned, and standardized approaches across teams to improve execution quality and sustain long-term performance. Support healthcare and product operations: Contribute to enterprise operational programs, including regulated processes, payor operations, compliance activities, and annual product lifecycle initiatives as applicable. Requirements A bachelor's degree in Business Administration, Healthcare Administration, Operations Management, Project Management, Public Health, or a related field, or equivalent relevant professional experience. At least 4 years of experience coordinating enterprise-level operational processes, projects, governance activities, or cross-functional workstreams. Lean Six Sigma Green Belt and Black Belt certifications , as specified in the role requirements. Strong project coordination and organizational skills, with the ability to manage multiple workstreams, competing priorities, stakeholder groups, and deadlines simultaneously. Demonstrated experience maintaining project plans, schedules, process documentation, decision logs, action trackers, and governance materials. Excellent written and verbal communication skills, including the ability to prepare clear executive-level reports, presentations, meeting materials, and implementation updates. Proven ability to collaborate across departments, influence stakeholders without direct authority, and build accountability within a matrixed organizational structure. Strong analytical and problem-solving capabilities, including experience identifying risks, tracking issues, conducting root cause analysis, and supporting corrective actions. Exceptional attention to detail, with a focus on documentation quality, process consistency, implementation readiness, and execution accuracy. A collaborative, adaptable, and team-oriented approach, with the ability to build productive relationships across business and operational functions. Preferred qualifications: Additional experience in project management, program coordination, or enterprise operational execution. Familiarity with operational governance frameworks, workflow documentation, process improvement methodologies, and continuous improvement practices. Experience supporting healthcare payor operations, particularly initiatives focused on operational efficiency and process optimization. Background in healthcare, Medicare Advantage, regulatory compliance, or other highly regulated operational environments. Experience supporting governance forums, executive reporting, implementation planning, operational readiness, and issue escalation. Familiarity with enterprise operations, product operations, compliance-driven processes, or annual insurance product lifecycle activities. Comfort working in a matrixed organization with multiple business partners, evolving priorities, and competing deadlines. Remote work requirements: Ability to work from a dedicated home office with a reliable internet connection providing at least 25 Mbps download and 10 Mbps upload speeds. The workspace must support uninterrupted work and protect sensitive member information in accordance with applicable privacy requirements. Travel and schedule: Availability to work a 40-hour week, primarily aligned with Eastern Time, and to travel occasionally for meetings or training as required. Benefits Competitive annual salary: Base pay ranging from $94,900 to $130,500 , depending on location, relevant skills, experience, education, and certifications. Performance-based incentives: Eligibility for a bonus incentive plan based on organizational and/or individual performance. Remote work flexibility: Nationwide remote work options, with work primarily conducted during Eastern Time hours. Office-based options may also be available in New York City, Washington, D.C., and Louisville, Kentucky. Comprehensive healthcare coverage: Medical, dental, and vision insurance to support employees and their families. Retirement savings: Access to a 401(k) retirement savings plan. Paid time off and holidays: Paid time off, company holidays, and personal holidays to support work-life balance. Family support: Paid parental and caregiver leave benefits. Insurance and financial protection: Short-term disability, long-term disability, and life insurance coverage. Professional growth: Opportunities to develop expertise in enterprise process improvement, healthcare operations, governance, and strategic program execution. Meaningful impact: The opportunity to improve operational performance, strengthen compliance and accountability, and support more effective healthcare products and services.