Senior Process Improvement Professional

Kentucky, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's degree and at least 3 years of experience in a corporate setting, demonstrating an ability to work independently with an agile mindset. Stellar communication skills and the ability to positively influence others are essential, along with solid experience in interpreting situations and determining appropriate courses of action during projects. A strong understanding of how organizational capabilities interrelate across departments is also required. Preferred qualifications include previous experience with Medicaid/Medicare/Managed Health Care programs and regulations, as well as PMP or Six Sigma certification.

Responsibilities

The Senior Process Improvement Professional will analyze and measure the effectiveness of existing business processes, developing sustainable and quantifiable improvements. This role involves managing projects, identifying trends and emerging issues, recommending solutions, and ensuring timely responses to business partners and senior leaders. Responsibilities include focusing on process improvement and standardization to enhance the provider and member experience, deploying a consultative approach to strategic thought leadership, conducting risk assessments, researching best practices, and advising stakeholders on contractual risk mitigation.

Skills

Process Improvement

Business Process Analysis

Project Management

Risk Assessment

Best Practices Research

Business Process Re-engineering

Data Analysis

Strategic Thought Leadership

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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