Process Optimization Lead

Humana

1d • $94,900 - $130,500 • Remote

About The Position

This role is responsible for end-to-end process governance, operational oversight, and execution alignment across assigned deliverables. This role ensures processes are clearly defined, documented, standardized, and consistently executed while maintaining visibility into milestones, dependencies, risks, and overall readiness. Acting as a central process orchestrator, this role partners across cross-functional teams to drive alignment, execution flow, operational discipline, and process consistency. The Process Optimization Lead proactively identifies process gaps, inefficiencies, and operational risks, translating insights into actionable improvements using Lean Six Sigma methodologies. This role operates at a process governance and oversight level, ensuring processes are scalable, efficient, and aligned to enterprise objectives while partnering with accountable teams responsible for downstream execution.

Requirements

• Bachelor’s Degree in Business, Operations Management, Healthcare Administration, or related field
• 4+ years of experience in process management, operations, program management, or project management
• Demonstrated experience with end-to-end process governance and cross-functional coordination
• Strong knowledge of project management methodologies (Waterfall, Agile, or hybrid models)
• Experience leading process improvement initiatives using Lean or Six Sigma methodologies
• Proven ability to manage complex workflows, dependencies, competing priorities, and operational risks
• Advanced experience with process mapping, workflow design, and process documentation tools
• Strong analytical, problem-solving, and root cause analysis capabilities
• Excellent communication and stakeholder management skills with the ability to influence without direct authority

Nice To Haves

• Master’s Degree in Business Administration (MBA), Operations Management, Project or Program Management, Industrial Engineering, Systems Engineering, Healthcare Administration, or related discipline
• Prior experience strategizing on how processes should be restructured
• Lean Six Sigma Green Belt or Black Belt certification
• PMP, PgMP, or equivalent project management certification
• Experience within highly regulated environments (healthcare, insurance, CMS, or compliance-driven operations)
• Experience supporting large-scale cross-functional programs, operational readiness initiatives, or enterprise implementations
• Familiarity with process governance models, operational frameworks, and implementation lifecycle management

Responsibilities

• Provide end-to-end process governance and operational oversight across assigned deliverables, ensuring alignment from intake through execution and downstream readiness
• Establish and maintain process governance frameworks, including ownership structures, escalation paths, decision rights, and RACI models
• Ensure process standardization, consistency, and adherence across cross-functional teams while identifying and reducing unnecessary variation
• Serve as the central point of visibility into process health, readiness, risks, dependencies, and execution status
• Maintain operational oversight of process controls, governance checkpoints, and execution expectations across the process lifecycle
• Lead development and maintenance of process documentation, including SOPs, process maps, swim lanes, playbooks, and governance artifacts
• Utilize Lean Six Sigma methodologies and tools (SIPOC, value stream mapping, root cause analysis, DMAIC) to design, refine, and optimize processes
• Ensure processes remain audit-ready, compliant, and aligned with regulatory, operational, and business requirements
• Drive adoption of standardized processes and operational best practices across teams
• Partner with cross-functional teams to align on timelines, deliverables, dependencies, and execution sequencing
• Facilitate structured working sessions to resolve ambiguities, clarify responsibilities, and support decision-making
• Coordinate process handoffs and interdependencies to ensure seamless execution flow and operational readiness
• Serve as a liaison across business, operational, and technical stakeholders to drive alignment and accountability
• Manage integrated project plans, governance milestones, critical paths, and interdependencies across initiatives
• Monitor progress against key milestones and proactively identify, escalate, and mitigate risks, issues, and blockers
• Drive operational status reporting, executive updates, and stakeholder communications with clarity and precision
• Establish governance cadences, tracking mechanisms, and reporting structures to maintain visibility into program health and readiness
• Identify process gaps, inefficiencies, bottlenecks, and operational risks through data analysis and stakeholder feedback
• Lead root cause analysis (RCA) and corrective/preventive action planning (CAPA)
• Translate findings into actionable process improvement opportunities using Lean Six Sigma and continuous improvement methodologies
• Partner with execution teams to transition, operationalize, and sustain approved process improvements
• Proactively assess and manage operational risks, process vulnerabilities, and downstream impacts
• Define and monitor readiness checkpoints across all phases of the process lifecycle
• Maintain visibility into capacity constraints, operational impacts, and delivery risks
• Support contingency planning and readiness mitigation strategies
• Define, monitor, and report on KPIs, SLAs, process metrics, and operational performance indicators
• Develop dashboards and reporting tools to provide visibility into process performance and readiness
• Conduct trend analysis to identify optimization opportunities and emerging risks
• Present insights, recommendations, and operational updates to leadership in a concise and actionable manner
• Support change management and process adoption strategies for new or updated processes
• Develop communications, training materials, and supporting documentation to reinforce process compliance and operational consistency
• Promote a culture of continuous improvement, accountability, and operational discipline

Benefits

• medical
• dental
• 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
• bonus incentive plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level