Process Consultant / Black Belt

Work Setup: Onsite (MOA Pasay)

Responsibilities:

• Process Transformation: Conduct process deep dives, create process maps, identify improvement opportunities, develop and implement transformation roadmaps for in-scope processes. Identify opportunities for automation, analytics, and data science solutions to enhance efficiency, quality, experience, and health outcomes.
• Business Acumen and Strategic Alignment: Align process improvements with organizational objectives and customer needs. Closely work with cross-functional teams, motivating operations team to adopt new processes while effectively managing resistance to change. Focus on delivering measurable financial results while maintaining a positive cost-benefit ratio.
• Collaboration with Operations Leaders and Clients:
  - Ensure process metrics and KPIs meet best-in-class standards with defined roadmaps
  - Conduct deep dives to identify bottlenecks and improvement opportunities
  - Develop and propose solutions, create business cases, and secure stakeholder approval
  - Deploy approved solutions within agreed timelines and budgets 
• Communication and Collaboration: Engage diverse stakeholders (clinicians, administrators, patients) with excellent communication skills. Synthesize complex data into actionable insights and present them clearly.

Qualifications:

• Must be a Six Sigma Black belt certified
• Bachelors degree in any discipline; MBA preferred
• 5+ years overall experience with at least 3 years experience with driving transformation programs using process re-engineering, automation, analytics, data science solutions
• Minimum 2+ years experience working in the US healthcare market with a focus on administrative clinical processes
• Experience working with transformation teams of business / process consultants, RPA developers, analytics and data science professionals
• Demonstrated track record with change management, value delivery in terms of top-line/bottom-line improvement, experience, quality, accuracy, business outcomes

Preferred experience (good to have):

• Experience working in clinical processes (prior authorization, utilization management, utilization review, etc.) within the US healthcare market
• Experience working in contact centre operations