[Remote] Senior Process Improvement Professional at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Bachelor's degree in Business, Operations, Healthcare Administration, or related field
3+ years of healthcare process improvement experience or project management, or operations (Medicaid preferred)
3+ years of experience in the healthcare industry
Strong analytical skills with experience in data analysis and process mapping tools (e.g., virtual whiteboarding tools, Power BI)
Proven ability to work with cross-functional teams and manage multiple priorities effectively
Excellent communication, facilitation, and stakeholder management skills

Responsibilities

Analyzes and measures the effectiveness of existing business processes
Develops sustainable, repeatable, and quantifiable business process improvements
Researches best business practices within and outside the organization to establish benchmark data
Collects and analyzes process data to initiate, develop, and recommend business practices and procedures
Focuses on enhanced safety, increased productivity, and reduced cost
Determines how new information technologies can support re-engineering business processes
May specialize in benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements
Begins to influence department’s strategy
Makes decisions on moderately complex to complex issues regarding technical approach for project components

Skills

Process Improvement

Data Analysis

Process Mapping

Power BI

Stakeholder Management

Communication

Facilitation

Project Management

Business Process Analysis

Re-engineering

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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