Humana

AVP of Process Improvement

Florida, United States

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Position Overview

  • Location Type: Remote
  • Job Type: Full-time
  • Salary: [Not specified]

Humana is seeking a dynamic and results-oriented AVP of Process Improvement to lead our organization's journey towards operational excellence. Reporting directly to the VP, Operations, this role will be responsible for developing and implementing a comprehensive strategy to streamline processes, enhance efficiency, and drive continuous improvement across Medicaid markets. This role requires a strategic thinker with a proven track record of leading significant process transformation initiatives and fostering a culture of continuous improvement.

Responsibilities

  • Strategic Leadership: Develop and execute a long-term process improvement strategy aligned with Medicaid’s strategic objectives. Identify key operational areas for improvement and prioritize initiatives based on potential impact and feasibility.
  • Process Assessment and Analysis: Lead comprehensive assessments of existing business processes to identify bottlenecks, inefficiencies, and areas for optimization. Utilize methodologies such as Lean, Six Sigma, and Business Process Reengineering (BPR) to analyze current state and recommend future state improvements.
  • Stakeholder Collaboration: Partner effectively with senior leadership across the organization to understand their operational challenges and collaboratively develop improvement solutions. Build strong relationships and foster buy-in for process changes.
  • Methodology Development and Implementation: Establish and maintain a standardized framework for process improvement methodologies, tools, and techniques. Ensure consistent application of best practices across all initiatives.
  • Capability Building: Develop and implement training programs to build process improvement capabilities within the department. Mentor and coach team members on process improvement methodologies and tools.
  • Technology Integration: Use technology to intake, inventory and track progress on initiatives submitted to the Process Improvement department. Identify and evaluate opportunities to leverage technology and automation to enhance process efficiency and effectiveness. Collaborate with IT and other relevant departments on technology implementation.
  • Subcontractor/Vendor Management: Manages subcontractor and vendor performance and delivery, communicates regarding day-to-day matters and monitors performance and corrective actions to ensure contract delivery.
  • Culture of Continuous Improvement: Champion a culture of continuous improvement throughout the organization, encouraging employee involvement in identifying and implementing process enhancements.

Requirements

  • Bachelor's degree in Business Administration, Management, or a related field.
  • 10 plus years of progressive experience in process improvement, operations management, or a related field.
  • 5 plus years in a senior leadership role.
  • Proven track record of successfully leading and implementing significant process improvement initiatives with measurable results.
  • Strong analytical and problem-solving skills with the ability to interpret data and draw meaningful conclusions.
  • Exceptional communication, presentation, and interpersonal skills with the ability to influence and collaborate effectively at all levels of the organization.
  • Demonstrated ability to lead and motivate teams and foster a culture of continuous improvement.

Preferred Qualifications

  • Master’s degree
  • Medicaid Experience
  • Deep understanding and practical application of Lean, Six Sigma, and Business Process Reengineering (BPR) methodologies.

Travel

  • Occasional travel to Humana's offices for training or meetings may be required.

Company Information

  • Company: Humana
  • Mission: To put health first, fostering a caring community.

Skills

Process Improvement
Lean
Six Sigma
Business Process Reengineering (BPR)
Strategic Planning
Stakeholder Collaboration
Change Management
Training & Development
Technology Integration

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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