Humana

Enterprise Transformation Lead

San Antonio, Texas, United States

Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Requirements

Candidates must have at least 3 years of experience in process improvement with a focus on operational improvement and at least 2 years of project leadership experience. Proficiency in business consulting or operational leadership, strong business and financial acumen, and the ability to connect enterprise functions are required. Exceptional communication and interpersonal skills are essential, along with the ability to identify process opportunities, drive strategic conversations, and influence enterprise leaders through data synthesis. A Bachelor's Degree or military experience, along with certifications in Lean, Agile, Six Sigma, Business Process Management, or Project Management, are preferred qualifications.

Responsibilities

The Enterprise Transformation Lead will help frame opportunities by identifying current state processes and developing solutions to improve customer experience and operational metrics. This role involves diagramming and evaluating current state processes using established improvement approaches, performing cost and benefit analyses to support change, and partnering with business and IT teams for omnichannel consideration. Responsibilities include using independent judgment to determine the best course of action, partnering with marketing to oversee the development and approval of all language within marketing materials, and operationalizing the experience with the Vendor Management team. The lead will collaborate with internal teams to ensure readiness and understanding of expected member experience, work with the analytics team on optimizing the member experience, and develop a measurement plan for appropriate controls and KPIs. Additionally, the role involves working with the research team to conduct focus groups, consumer research, and usability testing, and evaluating test and learn opportunities with partners for new initiatives.

Skills

Process Improvement
Root Cause Analysis
Cost-Benefit Analysis
Strategic Decision Making
Customer Experience
Operational Metrics
Analytics
Usability Testing
Research
Vendor Management
Marketing Communications

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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