You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
The Process Improvement Specialist serves as a key contributor within the Process Ownership team, responsible for driving end-to-end process optimization across Claims and Configuration operations. This role partners closely with process owners, operations leaders, and cross-functional stakeholders to define current-state processes, design scalable future-state solutions, and ensure sustainable adoption of standard work. Using LEAN, Six Sigma, Plan-Do-Study-Act (PDSA), and related methodologies, the Specialist leads improvement initiatives that enhance quality, efficiency, compliance, and provider experience while supporting enterprise growth.
Key Responsibilities
- Lead enterprise and department-level process improvement initiatives from intake through sustainment, with accountability for outcomes
- Facilitate current-state and future-state process mapping, including identification of variation, waste, risk, and control gaps
- Partner with designated Process Owners to define clear ownership, decision rights, metrics, and escalation paths
- Translate operational complexity into standardized workflows, procedures, and handoffs suitable for documentation and training
- Apply data-driven analysis to identify root causes, quantify impact, and prioritize improvement opportunities
- Serve as a trusted advisor to leaders by providing structured problem-solving, insights, and recommendations
Education/Experience:
Bachelor's degree in related field or equivalent experience. 4+ years of LEAN, Six Sigma or similar process improvement experience within the healthcare industry preferred. Previous working knowledge of process mapping and design, statistical applications and project management software.
Licenses/Certifications: LEAN/Six Sigma Green Belt, CAPM-PMI - Certified Associate of Project Management preferred. Black Belt or PMP preferred.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
