Molina Healthcare Inc. Logo

Molina Healthcare Inc.

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

Posted 12 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

6 Minutes Ago
Remote
4 Locations
120K-216K Annually
Expert/Leader
120K-216K Annually
Expert/Leader
Other • Utilities
Senior enterprise sales leader responsible for winning Fortune 1000 new logos and expanding strategic accounts. Build C‑suite relationships, architect tailored technology solutions, lead complex multi-stakeholder deals, manage pipeline and forecasting via CRM, and coordinate cross-functional execution for global, high-value clients.
Top Skills: CRM
20 Minutes Ago
Remote or Hybrid
USA
41K-83K Annually
Mid level
41K-83K Annually
Mid level
Machine Learning • Payments • Security • Software • Financial Services
Provides enterprise technology support through phone, ticketing, and potentially chat channels. Troubleshoots hardware, software, network, access, and application issues; manages incidents and escalations; documents resolutions in ServiceNow or similar ITSM tools; analyzes trends and operations data; supports knowledge management, training, process improvement, and automation; and coaches junior analysts while maintaining customer service, security, and confidentiality standards.
Top Skills: Call Center TechnologiesHardware InfrastructureItsmNetworkingServicenow
21 Minutes Ago
Remote or Hybrid
USA
Senior level
Senior level
Machine Learning • Payments • Security • Software • Financial Services
Designs, develops, tests, deploys, documents, maintains, and debugs software solutions for PNC’s Asset Management Group. The role addresses complex business needs through technical design, application development, architecture, troubleshooting, testing, and release management. It is remotely based in Pennsylvania, with occasional in-office participation as needed.

What you need to know about the Boston Tech Scene

Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.

Key Facts About Boston Tech

  • Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
  • Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
  • Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
  • Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account