Note: The job is a remote job and is open to candidates in USA. Humana is a leading U.S. healthcare company focused on improving the health of the millions they serve. The Process Improvement Lead is responsible for analyzing and improving business processes, ensuring compliance and efficiency, and leading a team to implement best practices.
Responsibilities
- The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements
- The Process Improvement Lead works on problems of diverse scope and complexity ranging from moderate to substantial
- You will report to a Director of Health Services and have 1-2 direct reports
- The Process Improvement Lead researches best business practices within and outside the organization to establish benchmarks for the team
- You will review processes, streamline the department, ensuring better collaboration, efficiency and compliance
- You will develop new process and practices for the team
- Be a point person for the department regarding resources and procedures in areas such as compliance, audits, quality reviews like NCQA
- You will also collect and analyze data, identifying gaps and building out process to develop best practices
- You will review job aids, be the point person in the new hire onboarding and training processes of the department to ensure the team follows best in class business practices and procedures that focus on enhanced safety, increased productivity and reduced cost
- You may advise leadership to develop functional strategies (often segment specific) on matters of significance
Skills
- Bachelor's degree
- 5 or more years of process improvement experience
- 2 or more years of project leadership experience
- Must have 2 or more years of experience in case management and/or utilization management experience
- Current RN or MSW license in state of employment
- 2 or more years of Medicaid Experience
- Certification in Lean, Six Sigma, or similar process improvement methodology is preferred
- Ability to manage multiple initiatives and facilitate change in a matrixed organization
- Familiarity with Project Management tools and resources
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
- Humana, Inc. and its affiliated subsidiaries (collectively, 7Humana8) 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
- Associates 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 associates with telephone equipment appropriate to meet the business requirements for their position/job.
Company Overview
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