Pangloss Reimbursement Management
Process Improvement Department Builder - Contract 4-6 Months
Skills
1 month ago
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Important information
Contract type:
Permanent
Work mode:
Hybrid
Published on:
27 September 2026
What they need
Process Improvement Department Builder Contract (4-6 months) • Build it, staff it, hand it off
Location: India, remote (occasional travel) • Overlap: partial overlap with US Eastern business hours • Engagement: contract / consulting, 4 to 6 months, with a defined exit
The situation
We are a ~200-person US medical-services company with operations in the USA, South America and India. For 30 years, one person has been the only source of process design and improvement.
Our process-improvement team today is two Senior Business Analysts. That's it. No structure, no process, no method of work, no tools, no management layer. We want someone who has built a process-improvement department from scratch before to build ours and then leave it running without them.
The engagement
- Weeks 12: Deliver a phased plan from where we are to where we need to be — OKRs, milestones, realistic timelines.
- Months 1–2: Build the department: method of work, standards, best practices, tools. Take our first process (FES) through discovery and standardization.
- Months 2–4: Recruit and install the department's permanent manager. Put the management structure in place. Bring the first process under control.
- Months 4–6: The manager runs the department. You hand off and exit.
Your exit is planned from Day 1. Success is a department that runs without you.
What you'll do
- Build the department's execution processes — how work is identified, prioritized, designed, approved and controlled.
- Instill proven best practices and choose the department's own tools (process mapping, tracking, measurement).
- Take processes up the maturity ladder: discover standardize control optimize automate. (Our Fractional CTO owns automation technology; you lead the process to that point.)
- Build the measurement system — baselines, KPIs, dashboards — where little data exists today.
- Gather requirements and author Business Cases (problem root cause options ROI recommendation).
- Mentor the two Senior BAs, hire the team, and recruit the permanent manager who takes over from you.
- Work at the strategic "what and why" level — and roll up your sleeves to do analyst work yourself when needed.
You must have
- Built a process-improvement / process-excellence department or function from scratch, and handed it to a manager who kept it running.
- Personally hired a team you owned (5+ hires).
- Authored Business Cases that were approved.
- A strong data perspective on process work — you've built measurement systems, not just used them.
- Comfort starting with almost nothing: two BAs, no structure, no playbook.
A plus (not required)
- Healthcare, revenue-cycle or insurance-claims experience.
- Lean / Six Sigma / BPM methodology.
- Experience working across countries.
This is not for you if
- You advise and hand the building to someone else.
- Your team experience is training or certifying people rather than hiring and running a team.
- You need clean data, a team or a playbook before you can start.
- You're looking for a permanent role or a technology-strategy role.
How to apply — answer every question
- Type BUILDER as the first word of your reply.
- Have you personally built a process-improvement / process-excellence department from scratch (not joined an existing one)? Yes / No. Name the company and the team size when you started and when you left.
- After you left, did a manager you put in place keep running it? Yes / No. May we speak with that person? Yes / No.
- How many people have you personally hired into a team you owned? (number)
- How many Business Cases (problem root cause options ROI recommendation) have you personally authored that were approved, in the last 3 years? (number)
- Have you built a process measurement system (baselines, KPIs, dashboards)? Yes / No. Which tools?
- Are you open to a 4–6 month contract with a defined exit — build the department, hire its manager, hand it off? Yes / No.
- We have two Senior BAs and no structure. Will you personally do analyst-level work from Day 1? Yes / No.
- Your expected monthly fee, your earliest start date, and how many hours of US Eastern overlap you can offer.
Finalists complete a short paid planning assignment before any contract. We speak with the manager who took over your last department.
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