Business Process Manager
ServiceNowFull Time
Senior (5 to 8 years), Expert & Leadership (9+ years)
Candidates must have a strong understanding of business process analysis, re-engineering, and change management. A proven ability to research best business practices, analyze process data, and recommend improvements is essential. Experience with new information technologies and their application to business processes is required. Familiarity with the TRICARE program and Utilization Management activities is also necessary. The role requires independent judgment and decision-making on complex issues with minimal supervision.
The Process Improvement Lead will research and benchmark business practices, analyze process data to recommend improvements, and evaluate the impact of new technologies on business processes. They will maintain knowledge of the TRICARE program, review and monitor Contract Change Orders, and collaborate with leaders to implement electronic prior authorization technology. Responsibilities also include developing process maps, offering optimization recommendations, assisting with evolving practices reports, and creating department communications. Additionally, the role involves supporting policies and procedures, ensuring reaccreditation readiness, and assisting with system testing.
Health insurance provider for seniors and military
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.