Process Improvement Professional 2

Humana

3d • $65,000 - $88,600 • Remote

About The Position

Become a part of our caring community The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Identify and act on opportunities to improve outcomes, supporting the development of both corporate and market programs. Work closely with business partners to develop and implement action items that help ensure program compliance. Research, analyze, and consult with different business areas to gain insights and drive assigned projects forward. Use strategic thinking and project management skills to facilitate process mapping and create effective procedures. Understand and apply state contract requirements to support successful program implementation. Update market Policies and Procedures to keep them aligned with contract amendments. Lead meetings with business partners to develop process mapping and document procedures. Clearly communicate policy and procedure updates to business partners for smooth adoption. Collaborate with systems partners to help develop and improve our internal electronic regulation and documentation system. Collect, develop, and evaluate data to support compliance and meet quality objectives. Use your skills to make an impact

Requirements

• Bachelors Degree
• Minimum of 2 years in a Medicaid program
• Advance skills in Excel
• Strong collaboration and communication skills
• Excellent analytical skill and presentation skills
• Strong organizational skills
• Must have accessibility to high speed DSL or Cable modem for a home office (No Satellite)
• This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• AHCA Fingerprint Required

Nice To Haves

• Project management and process improvement expertise
• Clinical experience

Responsibilities

• Analyze and measure the effectiveness of existing business processes
• Develop sustainable, repeatable, and quantifiable business process improvements
• Identify and act on opportunities to improve outcomes
• Support the development of corporate and market programs
• Work closely with business partners to develop and implement action items for program compliance
• Research, analyze, and consult with different business areas to drive projects forward
• Use strategic thinking and project management skills to facilitate process mapping and create effective procedures
• Understand and apply state contract requirements to support successful program implementation
• Update market Policies and Procedures to keep them aligned with contract amendments
• Lead meetings with business partners to develop process mapping and document procedures
• Clearly communicate policy and procedure updates to business partners for smooth adoption
• Collaborate with systems partners to help develop and improve our internal electronic regulation and documentation system
• Collect, develop, and evaluate data to support compliance and meet quality objectives

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees