Description
This is a fully remote position and can be located anywhere in the US.
Position Purpose: Identify, facilitate and lead enterprise wide process improvement activities utilizing LEAN/Six Sigma methodologies to design and improve processes that support business infrastructure and performance.
Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT
- Lead process improvement, future-state design, and operating-model transformation for Duals Care Management and D-SNP priorities across market and enterprise clinical operations.
- Apply Lean, Six Sigma, root cause analysis, Kaizen, value stream mapping, structured problem solving, and current-state/future-state design to identify operational problems, reduce unnecessary variation, and develop sustainable solutions.
- Assess differences across markets, health plans, products, platforms, and Care Management delivery models, and help determine what should be enterprise-standard, product- or platform-configurable, or market-owned.
- Conduct process observations, analyze operational data, synthesize findings, and facilitate working sessions that drive decisions and actionable solutions.
- Design scalable future-state workflows, capabilities, roles, handoffs, decision rights, controls, governance, and performance measures that enable D-SNP Care Management strategies.
- Translate future-state operating models into clear business, workflow, data, and platform capability requirements in partnership with technology and operational teams.
- Convert strategic, regulatory, contractual, product, and market requirements into practical Care Management processes.
- Partner across Duals Care Management, market clinical operations, Medicare and Medicaid product teams, Behavioral Health, Pharmacy, quality, technology, data and analytics, compliance, community resources and member-support functions, and other enterprise teams.
- Help scale successful market- or platform-specific practices into repeatable enterprise capabilities while preserving required market, product, platform, and regulatory flexibility.
- Define operational, quality, member-experience, adoption, financial, and sustainability measures; establish monitoring and control mechanisms; and validate sustained improvement after implementations
- Serve as a hands-on transformation partner to frontline teams, market leaders, business owners, clinical leaders, and executives, not primarily as project or program support.
Education/Experience: Bachelor's degree in related field or equivalent experience. MBA or MHA preferred. 6+ years of LEAN, Six Sigma or related process improvement experience, preferably in the healthcare industry. Previous working knowledge of process mapping and design, statistical applications and project management software.
Preferred Experience :
- Strong process improvement and operating-model design experience in complex, matrixed healthcare environments, ideally Medicare and Medicaid Duals, D-SNP Care Management, integrated care, market operations, healthcare quality, regulatory, or medical-cost transformation.
- Prior Duals or D-SNP experience is strongly preferred but not required for candidates with strong healthcare process improvement, learning agility, and operating-model design experience.
- Demonstrated experience evaluating variation across markets, platforms, products, health plans, or business units; distinguishing required local or product-specific variation from unnecessary inconsistency; and translating findings into scalable operating models.
- Experience designing future-state capabilities that require coordination across clinical operations, product, technology, data, quality, and market teams.
- Strong capability in current-state assessment, process mapping, root cause analysis, Kaizen and improvement-event design, value stream mapping, future-state design, workflow redesign, stakeholder facilitation, adoption planning, measurable benefit validation, and structured problem solving.
- Ability to influence without direct authority in complex, matrixed organizations.
- Strong business acumen, analytical thinking, organization, and executive-ready communication skills.
Licenses/Certifications: LEAN/Six Sigma Black Belt or Master Black Belt certification preferred.
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
