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Process Consultant III (NCQA Accreditation)

Health Care Service Corporation
United States, New Mexico, Albuquerque
5701 Balloon Fiesta Parkway (Show on map)
Nov 26, 2024

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.

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

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$88,700.00 - $160,200.00
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