Molina Healthcare Inc. Logo

Molina Healthcare Inc.

Manager, Process Improvement & Operational Excellence-Salesforce SME (Remote)

Posted 11 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in United States
Senior level
Remote
Hiring Remotely in United States
Senior level
Leads cross-functional process improvement and operational excellence initiatives across healthcare member, provider, sales, agent, and campaign operations. Serves as a Salesforce subject-matter expert, supporting CRM workflows, integrations, requirements, testing, reporting, and production validation. Partners with Genesys, analytics, technology, product, vendor, and business teams to identify process gaps, define future-state workflows, improve data integrity, and deliver measurable operational outcomes.
The summary above was generated by AI

Job Description

The Manager, Process Improvement and Operational Excellence leads data-driven process optimization initiatives across Customer Experience, Marketing, Sales, and Agent Operations. This role partners closely with business, product, technology, analytics, and operational teams to identify gaps, streamline workflows, support Salesforce- and Genesys-enabled initiatives, and drive measurable improvements across cross-functional outreach, campaign, reporting, and platform processes. The ideal candidate brings strong Salesforce systems expertise, analytical rigor, and the ability to execute in complex, integrated environments. 

Key Responsibilities 

Process Improvement & Operational Excellence 

  • Lead cross-functional process improvement initiatives across Customer Experience, Medicaid, Medicare, Marketplace, Sales, Agent Operations, and campaign workflows. 
  • Support customer experience processes, including Medicaid redetermination, eligibility, member outreach, renewals, and compliance-driven campaign execution. 
  • Partner with business, operations, technology, analytics, reporting, and vendor teams to align workflows and resolve process gaps. 
  • Analyze workflows, system behavior, risks, and dependencies to identify improvement opportunities. 
  • Define future-state processes with clear metrics, accountability, and measurable operational and member impact. 

Systems & Platform Expertise (Required) 

  • Serve as a Salesforce-focused subject-matter expert supporting CRM workflows, data integrity, reporting, and operational process design. 
  • Lead and support Salesforce enhancements through requirements definition, IT partnership, UAT, production validation, and post-launch support. 
  • Understand Salesforce integrations and upstream/downstream dependencies across Evolve, lead sources, eligibility data, reporting extracts, agent/broker data, and operational dashboards. 
  • Partner with IT, Product, Operations, and Analytics teams to troubleshoot issues, validate changes, and ensure Salesforce-enabled processes support business needs. 
  • Support Genesys telecom workflows, including outbound dialer campaigns, call routing, disposition tracking, reporting impacts, and Salesforce integration touchpoints. 

Analytics & Insights Enablement (Support) 

  • Translate system and operational data into actionable insights that inform process decisions 
  • Ensure accuracy, consistency, and usability of reporting tied to operational workflows 
  • Partner with analytics and reporting teams to ensure dashboards and metrics accurately reflect operational workflows 

Stakeholder Partnership & Execution 

  • Act as a trusted partner to Sales, Agent Operations, and Member/Provider teams 
  • Communicate complex process and system insights clearly to both technical and non‑technical stakeholders, including leadership 
  • Manage timelines, dependencies, and delivery commitments across multiple concurrent initiatives 

Required Qualifications 

  • 4+ years of experience in process improvement, operational excellence, business intelligence, or analytics roles 
  • Required hands‑on experience supporting operational processes and data management for the following platforms: 
  • Salesforce (CRM) 
  • Genesys (Telecom) 
  • Member, Provider and Broker Portals 
  • Proven ability to translate complex, multi‑system data into process improvements and operational insights 
  • Experience operating in integrated, enterprise system environments 
  • Strong communication, organization, and problem‑solving skills 

• At least 7 years of health care operations, process improvement and/or lean management experience, or equivalent combination of relevant education and experience.
• At least 1 year of management/leadership experience.
• Experience with Medicare, Medicaid, and Marketplace plans.• Understands key revenue levers and cost drivers of business processes.
• Understanding of critical success factors for the industry.
• Experience designing and delivering solutions related to operational improvement functions.
• Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
• Strong organizational and time-management skills ability to manage simultaneous projects and tasks to meet internal deadlines.

• Strong verbal and written communication skills.

Preferred Qualifications 

  • Salesforce Administrator Certification 
  • Salesforce SME

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.

Similar Jobs

Senior level
Artificial Intelligence • Big Data • Healthtech • Software • Biotech
Leads end-to-end IVD, companion diagnostic, clinical trial assay, tumor profiling, and SaMD development programs. Aligns internal cross-functional teams and biopharma partners across strategy, validation, clinical operations, regulatory submission, manufacturing, and commercialization. Owns governance, milestones, budgets, resources, risks, and partner relationships while delivering programs through regulatory approval or pivotal clinical trials.
Top Skills: Analytical ValidationAssay DevelopmentBioinformaticsBlaClinical ValidationCompanion Diagnostics (Cdx)Design ControlsEu IvdrFda Regulatory RequirementsIndIvdMaaNdaPhase I/Ii/IiiSoftware As A Medical Device (Samd)
An Hour Ago
Remote or Hybrid
USA
170K-260K Annually
Expert/Leader
170K-260K Annually
Expert/Leader
Cloud • Computer Vision • Information Technology • Sales • Security • Cybersecurity
Lead product marketing strategy and go-to-market execution for Falcon Exposure Management. Develop positioning, messaging, launches, thought leadership, web strategy, and field enablement while partnering with product, sales, marketing, and executive teams. Translate cybersecurity capabilities into customer value and business outcomes, guide market education, analyze buyers and competitors, and strengthen CrowdStrike’s category leadership. The role requires deep exposure management expertise, strong cybersecurity knowledge, exceptional communication skills, and 12–15+ years of relevant experience.
Top Skills: AIB2B SaasCloud SecurityCybersecurityEnterprise SoftwareExternal Attack Surface ManagementFalcon Exposure ManagementIdentity SecuritySecurity OperationsVulnerability Management
An Hour Ago
Remote or Hybrid
USA
120K-180K Annually
Senior level
120K-180K Annually
Senior level
Cloud • Computer Vision • Information Technology • Sales • Security • Cybersecurity
Lead program management for CrowdStrike’s Office of Adversary Strategy, coordinating complex cross-functional projects from scoping through delivery. Responsibilities include managing schedules, dependencies, risks, metrics, communications, change management, process improvements, and escalations. The role partners with technical teams and leadership, applies Agile project management practices, coaches teams through obstacles, and uses AI technologies to improve decision-making, workflows, and business outcomes.
Top Skills: AgileArtificial IntelligenceChatgptClaudeExcelGeminiGenerative AiJIRAKanbanScaled Agile FrameworkScrumSystems Development Lifecycle

What you need to know about the Chicago Tech Scene

With vibrant neighborhoods, great food and more affordable housing than either coast, Chicago might be the most liveable major tech hub. It is the birthplace of modern commodities and futures trading, a national hub for logistics and commerce, and home to the American Medical Association and the American Bar Association. This diverse blend of industry influences has helped Chicago emerge as a major player in verticals like fintech, biotechnology, legal tech, e-commerce and logistics technology. It’s also a major hiring center for tech companies on both coasts.

Key Facts About Chicago Tech

  • Number of Tech Workers: 245,800; 5.2% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: McDonald’s, John Deere, Boeing, Morningstar
  • Key Industries: Artificial intelligence, biotechnology, fintech, software, logistics technology
  • Funding Landscape: $2.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Pritzker Group Venture Capital, Arch Venture Partners, MATH Venture Partners, Jump Capital, Hyde Park Venture Partners
  • Research Centers and Universities: Northwestern University, University of Chicago, University of Illinois Urbana-Champaign, Illinois Institute of Technology, Argonne National Laboratory, Fermi National Accelerator Laboratory

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account