Process Improvement Lead

Become a part of our caring community and help us put health first
 The Process Improvement Lead provides analysis of current medical management programs/initiatives to proactively identify and manage business process improvement opportunities. Lead and participate in efforts to design innovative and strategic business processes to create a sustainable competitive advantage and deliver administrative efficiencies. Develops and maintains positive relationships working closely with HGB directors, managers, SME’s and other key partners. Communicates in a clear, timely, accurate and meaningful manner.

The Process Improvement Lead will provide project and program coordination to guide the implementation of new processes and process modifications; assist with change management and minimize disruption and maximize impact. The consultant understands requirements in the broadest context of business problems and opportunities and recommends solutions to enable innovative delivery of HGB’s value proposition.

Key Accountabilities: 
    25%    Proactively identifies improvement opportunities based on industry and competitive trends along with analysis of current processes and barriers.  
    25%    Leads the design of innovative business processes and create sustainable competitive advantage and administrative efficiencies.  
    25%    Provides analysis to major projects and improvement efforts. Develops and manages project plans for medical management projects. Assures process documentation meets current and future requirements and supports the successful implementation of business innovation. 
    15%    Partners with leadership and other team members to create quality and value based offerings for our government customers.  
    10%    Guides project and program implementation efforts and manages change to assure expected results are achieved.  

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s degree in business, healthcare administration, information systems or related field

• 3 plus years of data analysis experience (Ideally with healthcare/insurance data)

• 3 or more years of technical experience in software/application testing (Ideally creating templates)

• Project management and/or product management experience with a large-scale organization

• Broad understanding of information systems and interactions with business operations

• Ability to apply knowledge of new technology and business management concepts to improve operations

• Strong verbal and written communication, organizational, meeting facilitation, negotiation, follow-up, and problem-solving skills

• Detail oriented with excellent organizational and project management skills

• Critical thinker who can anticipate team needs and take initiative to present ideas, ask the right questions and deliver the highest quality work

• Problem solver who can find viable solutions that meets business needs, absent from all ideal tools and resources

• Ability to speak effectively before groups of customers or employees of organization

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• Our Department of Defense Contract requires U.S. citizenship for this position

• Successfully receive approval for government security clearance (Via National Background Investigation Services NBIS) 

• HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico

Preferred Qualifications

• 5 years of TRICARE experience

• PMP, CBAP, CCP, or LSSBB Certification 

• Lean Six Sigma Blackbelt 

• Agile /Scrum certification (Agile Practitioner, Scrum Alliance, etc.)

• Prior experience with Agile development process in story writing

• Ability to work with project stakeholders and remote teams at all levels in the organization in a collaborative, team environment

• Master's Degree

Additional Information

Work Style: Remote

Work at Home/Remote Requirements 
To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates 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

• 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 and computer 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

HireVue Statement: As part of our hiring process for this opportunity, we will be using an exciting 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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$94,900 - $130,500 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.

Application Deadline: 04-30-2025
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.