Process Improvement Professional - National Clinical Ops Medicaid

Become a part of our caring community This role, within the National Medicaid Operations Utilization Management Process Improvement & Enablement Team, will partner closely with Clinical Operations, subject matter experts, and clinical teams to support Medicaid Medical Directors. The position is responsible for ensuring clinical operational processes are standardized, effective, and aligned with applicable governing and NCQA requirements. The Process Improvement Professional analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable process improvements. This role requires the ability to interpret complex information, assess operational needs, and independently determine appropriate courses of action.…