Humana Healthy Horizons is seeking a Senior Process Improvement Professional who analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Senior Process Improvement Professional will manage projects, identify trends and emerging issues, recommend solutions, and ensure timely, complete responses to business partners and senior leaders.
The Senior Provider Process Improvement Professional supports the member and provider experience occurring under the Medicaid Operating Model.
Key Roles and Responsibilities include the following:
Focus on process improvement and standardization - ensuring the coordination of the components of the provider and member experience.
Deploys a proactive and consultative approach to providing strategic thought leadership to identify and address complex issues.
Analyze and measure the effectiveness of existing business processes and develop sustainable, repeatable, and quantifiable business process improvements.
Identify trends, conduct risk assessments, and identify areas of improvement resulting from information obtained through business partners.
Research best practices and determine how technology can support re-engineering business processes.
Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
Advises business partner and related stakeholders on contractual risk and mitigating factors.
Describes the tools, technologies, applications, and practices used to collect, integrate, analyze, and present an organization's raw data to create insightful and actionable business information.
Use your skills to make an impact
Required Qualifications
Bachelor’s degree
3+ years’ experience in a corporate setting.
Ability to work independently with an agile mindset.
Demonstrated stellar communication skills and ability to positively influence others.
Solid experience of interpretation and independent determination of the appropriate courses of action during projects
Possesses a solid understanding of how organization capabilities interrelate across department(s)
Preferred Qualifications
Previous experience working with Medicaid/Medicare/Managed Health Care programs and regulations.
PMP or Six Sigma Certification.
Prior digital/website experience a plus
Additional Information
This position is open to work remote
Core Workdays & Hours: Typically, Monday to Friday from 8 am to 5 pm (alternative schedule possible).
Training: Virtual foundational trainings will take place within the first few weeks of employment
Work at Home Criteria
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.