Business Process Engineer

Business Process Engineer

WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances.

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It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary:

The Business Process Engineer will bring Lean and Six Sigma Process Engineering principles to design and/or optimize Business Processes and improve their overall performance. This position partners extensively with cross-functional teams and leadership, in the application of Process Engineering principles to design and/or optimize Business Processes and their overall performance. As a member of the Strategic Initiatives Office team, the Process Engineer will manage multiple initiatives of significant scope and complexity, crossing multiple disciplines, management and functional areas.

Our Investment in You:

• Full-time remote work
• Competitive salaries
• Excellent benefits

Key Functions/Responsibilities:

• Contributes/delivers process improvement projects that deliver measurable cost savings, improved quality, increased revenue and growth, productivity, risk avoidance, or overall performance results.
• Evaluate current Business Processes and recommend solutions for improvements.
• Support the development of business cases through analytics
• Identifies and defines initiatives for continuous Business Process improvements.
• Identifies and manages existing and emerging risks that stem from business activities and ensures risks associated with business activities are effectively identified, measured, monitored, and reported on.
• Analyzes processes to identify areas of improvement, root cause analysis, and provide appropriate analytics to facilitate business effort prioritization.
• Synthesizes analysis, identifies root causes and develops and recommends key work products.
• Utilizes knowledge of customers, products, Business Processes and functions expertise to analyze business problems and determine the best methodology to resolve defects or issues.
• Conducts complex statistical analysis to demonstrate process performance, takt time and yields
• Serves as a coach and mentor to less experienced team members
• Develops and communicates results and recommendation packages for management review.
• Provides subject matter expertise and operational support to internal business partners.
• Project manage multiple assignments and initiatives
• Analyzes business needs, documents requirements, and translates needs into functional, non-functional specifications.
• Assess potential projects for viability and provide recommendations to leadership for prioritization.
• Other duties as assigned

Qualifications:

Education and Experience:

• Bachelor's Degree or the equivalent combination of training and experience
• 5+ years process improvement and/or business experience around process management
• Advanced knowledge and demonstrated use of statistics, LEAN Six Sigma, data analysis, and industry tools (SIPOC, VOC, Process Mapping, Process Requirements), and Process Engineering methodologies
• Experience writing detailed requirements of user needs, business impacts, and system functionality that are actionable, definable, relevant, measureable, and testable

Education Preferred:

• MBA, MHA or Master's in a related field

Experience Required:

• 5+ years managing large-scale projects in a cross-functional environment

Experience Preferred/Desirable:

• Experience with Medicaid, Medicare, Health plan, or managed care
• Management consulting, strategy or similar background
• BPM certification

Required Licensure, Certification or Conditions of Employment:

• LEAN/Six Sigma Black Belt certification

Competencies, Skills, and Attributes:

• Highly developed organizational skills
• Effective collaborative, leadership and facilitation skills throughout all levels of an organization
• Ability to execute initiatives and programs effectively through change management, engagement of staff, and training
• Ability to respond to constantly changing circumstances, work under short deadlines, and handle a necessarily ambiguous role required.
• Comprehension and appreciation of the complexities inherent in an organization and of its corresponding corporate culture.
• Strong oral and written communication skills; ability to interact within all levels of the organization.
• Advanced technical skills
• Analytical and Mathematical application
• Demonstrated ability to successfully plan, organize and manage projects
• Detail oriented, excellent proof reading and editing skills.

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.

Apply now

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Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees.