Become a part of our caring community and help us put health first
 

The Process Improvement Lead analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements, leads projects and facilities coordination and communication between owners and teams responsible for execution. The Process Improvement Lead works on problems of diverse scope and complexity ranging from moderate to substantial, influencing outcomes.

The Process Improvement Lead supports operational health plan functions and researches best business practices, owns project planning and facilitates coordination and communication between owners and other teams responsible for execution and production.  

• Collects and analyzing process data to initiate, develop and recommend business practices and procedures which focus on enhanced service delivery and increased productivity.
• Works with cross functional teams across the Enterprise Operations, including Member and Provider Call Center, Claims, Provider Support areas and Compliance etc.
• Supports the development, prioritization, and execution of re-engineering business processes and leads performance improvement projects.
• Communicates responsibilities, assignments, and tracks deliverables to teams, and at key points throughout projects. 
• Possesses good planning skills and the ability to anticipate problems and develop a plan of action to prevent delays in projects and/or the department’s workflow 
• Leads meetings with stakeholders to ensure accountability and timely delivery of Market Operations and LDH deliverables
• Serves as an essential member of the Market Operations team leading multiple projects of varying levels of complexity. 
• Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision,
• Uses independent judgment requiring analysis of variable factors and determining the best course of action.
• Other duties as assigned.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree
• 2+ years of project leadership experience guiding teams through change management as a team leader, Subject Matter Expert, SME
• 3+ years of experience in project facilitation and/or process improvement.
• Intermediate to advanced proficiency in various MS programs specifically, Excel, Word, PowerPoint & Visio.
• Ability to build and maintain effective working relationships, exhibiting a high level of influence.
• Strong, demonstrated organizational and interpersonal skills; able to interact effectively with people at all levels within a team or internal
• Excellent organizational skills and able to manage multiple priorities; comfortable working in a highly visible, fast-paced environment.

Preferred Qualifications: 

• Experience in Medicaid operations processes
• Advanced Excel skills (Pivot Tables) 
• Previous experience working in a managed care field.

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. HireVue 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. 

Scheduled Weekly Hours

40

Pay 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.

 

$93,000 - $128,000 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.