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Molina Healthcare · United States

# Senior Specialist, Process Improvement & Operational Excellence

United States Senior individual contributor 

Listed on Molina Healthcare’s official careers site. Posted October 19, 2026. Check that it is still open and apply there.
[Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2039674)

[OpenNash Jobs](https://jobs.opennash.com/) / [Molina Healthcare](https://jobs.opennash.com/companies/molina-healthcare/) / Senior Specialist, Process Improvement & Operational Excellence

## Job description

### Job Summary

Provides senior level support for operational business process redesign, communications and change management initiatives that result in operational efficiencies and/or an increase customer satisfaction. Responsible for back-end operationalization of policies, standardization of system set-up and resourcing support for all departments and health plans. Assists in development of enterprise business process improvement methodologies and implementation of business process improvement capabilities company-wide.

### Essential Job Duties
- Partners with various business functions and units to identify, document, and baseline all relevant processes.
- Utilizes industry techniques to improve the effectiveness and efficiency of business processes.
- Conducts interviews with staff and leadership to assess internal business processes within a department or function, and review/ensure compliance with existing organizational policies and procedures/standard operating procedures (SOPs) and other internal, external and regulatory guidelines.
- Reviews and researches information to evaluate compliance of a process or function and corresponding written documentation.
- Researches and analyzes fundamental issues in business process development.
- Uses analytical skills and data insights to identify process/informational variances.
- Diagrams and evaluates existing processes.
- Develops metrics that provide data for process measurement - identifying indicators for future improvement opportunities.
- Recommends, implements, and documents continuous improvement process best practices to support the business.
- Summarizes and documents assessment outcomes and recommendations, and ensures that they are appropriately communicated (written and verbal) to process owners and leadership.
- Collaborates with process owners to maintain and/or create business process documentation and workflows related to core operations functions.
- Conducts ongoing reviews and updates complex business processes in collaboration with functional subject matter experts and other stakeholders.
- Serves as liaison between core operations and internal and external auditors for all formal core operations audits that are not compliance related.
- Coordinates, facilitates and documents audit walkthroughs.
- Researches, collects or generates requested documentation; provides timely and accurate responses, both written and verbal.
- Researches and responds to questions submitted by internal and external auditors.
- Researches requested documentation and collaborates in partnership with teams and other functional areas as needed.
- Provides training and support to new and existing process improvement team members.

### Required Qualifications
- At least 3 years of process improvement/analytics experience, or equivalent combination of relevant education and experience.
- Data analysis skills.
- Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions.
- Strong organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
- Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
- Effective verbal and written communication skills.
- Microsoft Office suite (including Excel) and applicable software programs proficiency.

### Preferred Qualifications
- Proven analytical experience within an operations or process-focused environment.
- Health care experience.
- Lean Six Sigma certification.
- Previous audit and/or oversight experience.

### To all current Molina employees

If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

## At a glance
- Posted by the employer: Oct 19, 2026
- First seen by OpenNash: Oct 25, 2026
- Last checked: Nov 1, 2026
- Listed for: 13 days
- Location: United States[Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2039674)

## Hiring at Molina Healthcare
- Open jobs: 439
- New in the last 7 days: After two weekly collections
- Tracked since: Jul 10, 2026

[All Molina Healthcare jobs](https://jobs.opennash.com/companies/molina-healthcare/) · [Weekly hiring report](/reports/hiring/)

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