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Business Process Management (BPM) Specialist

Job Description:

Apply process improvement, reengineering methodologies, and internet-related methodologies and principles to conduct process modernization projects.  Responsible for transitioning of existing organizations or project teams in accomplishing the organization's goals or project activities and objectives through improved use of internet and other automated processes.  Support activity and data modeling, development of modern business methods, identification of best practices, and creating and assessing performance measurements.  Provide group facilitation, interviewing, training, and additional forms of knowledge transfer.

Responsibilities:

  • Support development of, refine and document claims department policies and practices. develop and promote adoption within the organization of claims best practices. 
  • Implement smooth, speedy and efficient workflow in all areas of the claims department. coordinate with division workflow manager to coordinate the claims department’s imaging/workflow program and related systems to ensure successful implementation and ongoing maintenance and support. 
  • Develop and manage claims department training and quality assurance, including supervision of the training coordinator and the quality assurance coordinator. 
  • Manage and monitor senior business analysts and claim system development, enhancements, process and system procedure guides. 
  • Assist vice president with managing, selecting and negotiating contracts, services and pricing for claims department vendors. 
  • Perform special studies and projects to improve claims assumptions, adjudication and practices. 
  • Assist in problem-solving on related topics between user departments, service departments and vendors. 
  • Assist in research and theory testing.

Skills/Requirements:

  • Bachelor's degree or higher in relevant area
  • Problem solving/analysis
  • Technical capacity
  • Leadership
  • Thoroughness
  • Customer/client focus
  • Organizational skills
  • Presentation skills 
  • Minimum of SECRET Security Clearance Required

ELIGIBILITY VERIFICATION:

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

EEO STATEMENT:

It is the policy of Alliance Pointe to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

ABOUT ALLIANCE POINTE, LLC:

Alliance Pointe, LLC is a HUBZone Certified, Woman-Owned Small Business (WOSB) management consulting services firm based in the Washington, D.C. metro area. We provide strategic business transformation and governance services to government and commercial organizations implementing Enterprise Resource Planning (ERP) programs. For more information, see www.alliancepointe.com.

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