Molina Healthcare Inc. Logo

Molina Healthcare Inc.

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

Posted 13 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

2 Minutes Ago
In-Office or Remote
39K-223K Annually
Mid level
39K-223K Annually
Mid level
Blockchain • eCommerce • Fintech • Payments • Software • Financial Services • Cryptocurrency
Own and grow a local sales territory through in-person prospecting, business visits, networking, partnerships, product demonstrations, and full-cycle deal closing. Build pipeline, sell Square’s software and hardware solutions to restaurants, retailers, and service businesses, manage referrals, support onboarding, maintain Salesforce activity and forecasts, and consistently exceed sales quotas.
Top Skills: Salesforce
2 Minutes Ago
In-Office or Remote
7 Locations
173K-312K Annually
Senior level
173K-312K Annually
Senior level
Blockchain • eCommerce • Fintech • Payments • Software • Financial Services • Cryptocurrency
Leads a team of Product Sales Specialists responsible for product adoption, cross-sell, expansion, pipeline, and revenue outcomes. Coaches consultative selling, manages forecasting and performance, develops scalable sales plays, and partners with Account Executives, Account Managers, Product, Marketing, Operations, Data Science, and Enablement. The role also engages in strategic seller opportunities, improves product expertise across sales teams, and builds repeatable commercial motions for Square’s products.
Top Skills: Data ScienceFintechOmnichannel CommercePayment ProcessingPoint-Of-Sale SystemsSaaS
2 Minutes Ago
Remote or Hybrid
US
120K-155K Annually
Senior level
120K-155K Annually
Senior level
Big Data • Fintech • Information Technology • Insurance • Software
Owns accounting support for the deal desk and quote-to-cash process at a SaaS company. Responsibilities include reviewing contracts for ASC 606 implications, advising Sales and Legal on deal structures, establishing approval workflows, translating contract terms into billing configurations, managing amendments and renewals, and partnering with Sales Operations, Finance, and Accounting. The role also supports commercial governance, SaaS metrics analysis, audit, and cross-functional training.
Top Skills: Ai AutomationBigQueryCpqCRMNetSuiteSalesforceTableau

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account