Process Consultant III (NCQA Accreditation)

Posted 8 Days Ago
Be an Early Applicant
3 Locations
91K-164K Annually
Senior level
Healthtech • Insurance
The Role
The Process Consultant III is responsible for leading process improvement initiatives, managing NCQA standards, analyzing results, and supporting business process activities. Key responsibilities include data collection, metric analysis, and conducting surveys while leading team activities and issue resolution. The role entails travel once or twice a year and requires proficiency in various business process methodologies.
Summary Generated by Built In

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This Position Is Responsible For Leading The Process Leaders/Process Stewards In Planning, Defining, Developing, Testing, Documenting, Analyzing Results And/Or Implementing Process Improvement And Process Reengineering Opportunities. Leading And Supporting Business Process Activities And Methods To The Super Process Leaders/Process Steward. Leading Team Activities, Deliverables, And Issue Resolution. Leading Key Activities Including Data Collection, Metric Definition And Analysis, And Root Cause Analysis. Supporting Development And Evolution Of Hcsc Business Process Management Methodology Identifying Best Practice Standards, Guidelines, Procedures And Tools For Analyzing, Designing, And Implementing Business Process Initiatives. This person will be managing NCQA standards and end-to-end independently, and must be able to conduct successful surveys. An understanding of how to load IRT will be critical to daily operations. Ability to travel once or twice a year.

JOB REQUIREMENTS:
*Bachelor Degree or 4 years business experience.
*5 years experience in process improvement and development of business metrics.
*5 years experience in health care role involving judgment and analytical skills.
*Experience in leading, developing, or managing employees.
*Clear and concise verbal and written communication skills.
*Experience working with all levels in the organization, leading projects and problem resolution.
*Experience facilitating group meetings including representing the company with external customers.
*Proficiency to include Word, Excel, PowerPoint, and Lotus Notes.
*Analytical and organizational sills including experience in meeting deadlines.
PREFERRED JOB REQUIREMENTS:
*Medicare Operations experience preferred
*Experience working with a project management methodology.
*Experience using quality improvement program such as Total Quality Management (TQM), or Six Sigma.

*Highly seeking someone with survey experience, knowledge of IRT (NCQA Accreditation Surveys)
*Ability to travel (very minimal)

This role is 100% remote

Must reside in IL, TX, or NM within 250 miles from our HQ.

#LI-KH1
INAK

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$90,900.00 - $164,200.00

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The Company
HQ: Chicago, IL
13,563 Employees
On-site Workplace

What We Do

Imagine Something New, Something Different.

Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families.

HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development.

HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC.

Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization.



Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

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