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Remote Process Improvement Jobs in Sumter, SC (NOW HIRING)

From world-class events that last a few weeks to mining operations and remote communities who rely ... Manage a wide range of complex projects within established processes and tools, following formal ...

Properly prepare work in advance with regards to equipment layout and hookup requirements and assigned crew work lists for setup, processing, rig-down and decontamination. * Ensure equipment is ...

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Remote Process Improvement information

See Sumter, SC salary details

$44.1K

$101.1K

How much do remote process improvement jobs pay per year?

As of Sep 7, 2026, the average yearly pay for remote process improvement in Sumter, SC is $96,936.00, according to ZipRecruiter salary data. Most workers in this role earn between $100,600.00 and $100,600.00 per year, depending on experience, location, and employer.

What is a remote process improvement specialist?

A remote process improvement specialist works in a company or organization to help them improve efficiency and productivity. You work from home to help a client plan improvements or perform an analysis of their production method. A continuous improvement specialist, a related work from home position, continually seeks ways to improve productivity and efficiency through process changes, organizational improvements, or professional development. Your duties and responsibilities vary depending on the industry. A process improvement specialist in manufacturing focuses on production methods, while those in IT or business concentrate on operations, team building, skills acquisition, and time management.

What are the key skills and qualifications needed to thrive as a remote process improvement specialist, and why are they important?

To thrive as a Remote Process Improvement Specialist, you need expertise in process analysis, project management, and data-driven decision-making, often supported by a degree in business or engineering and certifications like Lean Six Sigma. Familiarity with process mapping tools, workflow automation software, and collaboration platforms such as Microsoft Visio, Jira, or Trello is typically required. Exceptional problem-solving, communication, and facilitation skills help drive change and foster team engagement in a virtual environment. These abilities are crucial for identifying inefficiencies, implementing sustainable improvements, and achieving organizational goals remotely.

How does a remote process improvement professional typically collaborate with cross-functional teams to implement changes?

Remote Process Improvement professionals usually work closely with various departments such as operations, IT, and quality assurance. Collaboration is often facilitated through virtual meetings, shared project management tools, and regular progress updates. Building strong communication channels and fostering trust remotely is key, as successful process improvements require buy-in from multiple stakeholders. These professionals often lead virtual workshops, gather feedback, and ensure that changes are effectively communicated and adopted across the organization.

What is the difference between Remote Process Improvement vs Remote Business Analyst?

AspectRemote Process ImprovementRemote Business Analyst
Primary FocusOptimizing and streamlining processesAnalyzing business needs and requirements
Skills & CertificationsProcess mapping, Six Sigma, Lean methodologiesData analysis, requirements gathering, stakeholder communication
Work EnvironmentCollaborates with operations and process teamsWorks with business units and IT teams
Industry UsageManufacturing, healthcare, financeFinance, technology, consulting

Remote Process Improvement specialists focus on enhancing operational efficiency through process analysis and methodologies like Lean or Six Sigma. Remote Business Analysts analyze business needs, gather requirements, and facilitate solutions. While both roles require analytical skills, Process Improvement emphasizes process optimization, whereas Business Analysts focus on understanding and translating business needs into technical solutions.

What are the most commonly searched types of Process Improvement jobs in Sumter, SC?

The most popular types of Process Improvement jobs in Sumter, SC are:

What job categories do people searching Remote Process Improvement jobs in Sumter, SC look for?

The top searched job categories for Remote Process Improvement jobs in Sumter, SC are:

What cities near Sumter, SC are hiring for Remote Process Improvement jobs?

Cities near Sumter, SC with the most Remote Process Improvement job openings:

Infographic showing various Remote Process Improvement job openings in Sumter, SC as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $96,936 per year, or $46.6 per hour.

Medicare Operations Senior Program Manager

Bcbsa

Columbia, SC • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago


Job description

This role will be responsible for operations management of the Federal Employee Program (FEP) Medicare Advantage (MA) EGWP line of business. Responsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel Management (OPM), and Centers for Medicare and Medicaid Services (CMS), and EGWP policies and procedures. Manage operational efficiencies/continuous improvement initiatives and support operational implementation of cross-functional initiatives to enhance member and provider experiences.
This position partners closely with FEPOC MA Operations, Compliance, Product, Clinical, Network, and Inter Plan & Products (IPP) teams to ensure product builds are compliant, timely, and operationally sound. Position will serve as the primary interface with operations and implementation partners throughout the product cycle and will play a critical role in driving the success of the company's product portfolio by delivering products that meet business objectives.
  • Manages business requirements, system implementations, UAT, and change management in partnership with the FEP Operations Center and cross-functional stakeholders. Ensures adherence to FEP program and ITS processes/procedures and applies deep Medicare Advantage regulatory and operational expertise to ensure CMS compliance and audit readiness.
  • Manages pre/post-launch operational monitoring, identifies execution gaps, and drives in-year corrections to maintain product integrity and compliance.
  • Relationship management skills to build and maintain a positive, collaborative working relationship across various internal and external functional areas/stakeholders. Establish cohesive relationships and influence decisions without having a direct functional reporting structure. Build trust, exhibit sense of urgency, drive consensus in resolving conflicts and decision making. Resolve or escalate issues, propose alternatives and set or manage expectations in a timely fashion.
  • Manages product implementation and operational readiness as directed by product development team in ensuring benefit builds at the operations and implementation partner level align precisely with approved CMS-compliant specifications. Support enrollment, member services, provider network operations, ANOC/EOC planning, and member experience initiatives.
  • Supports Product Development team with strategic planning, multi-year operational roadmaps, and process optimization using Lean Six Sigma and industry benchmarking. Manages vendor relationships, contracts, and RFPs; represent MA operations in governance forums and with CMS.
  • Manages collating MA product operational performance reporting including all applicable KPIs, SLAs, regulatory, and operational reporting metrics and appropriately distributes to BCBSA leadership.
  • Serves as a liaison and communicator to FEPOC Operations team, presenting recommendations to leadership and mentoring operational staff.

The posting range for this position is:

105,400.00 - 152,800.00


Qualifications:
Education

  • Required BS in Healthcare, Business Administration, Public Health, or related field; or equivalent experience

Experience

  • Required 8+ Years experience in Medicare/Medicare Advantage Operations, healthcare operations, and health insurance or managed care.


Knowledge Skills and Abilities

  • Deep knowledge of Medicare Advantage, Part D, and CMS regulations.
  • Experience leading/supporting large, cross functional programs/projects, including working with TPAs/BPOs.
  • Experience working with core processing platforms like - Facets, HealthEdge, QNXT etc.
  • Strong analytical skills with ability to interpret utilization data, competitive benchmarking, and quality/Stars metrics to drive benefit enhancement decisions.
  • Excellent written, oral communication, and presentation skills; proven ability to develop and deliver executive-level materials and represent product initiatives to senior stakeholders.
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint); familiarity with project management tools and data visualization platforms.
  • Strong stakeholder management and relationship-building skills with the ability to influence without authority across Legal, Compliance, Actuarial, Clinical, and Operations functions.


Extra Posting Information:

#LI-Remote

The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.