[Remote] Senior Process Professional at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor's degree
Experience with business process analysis and re-engineering
Experience with project management methodologies
Strong analytical and problem-solving skills
Excellent communication and interpersonal skills
Ability to work independently and as part of a team
Adaptability to changing environments
Understanding of project standards (Charter, RACI Model, Governance Structure, Project Plan, Risk/Issues Tracking)

Responsibilities

Analyze and measure the effectiveness of existing business processes
Develop sustainable, repeatable, and quantifiable business process improvements
Research best business practices within and outside the organization
Collect and analyze process data to identify areas for improvement
Recommend business practices and procedures to enhance safety, productivity, and reduce costs
Determine how new information technologies can support re-engineering business processes
Manage all aspects of a project from scoping through execution
Define, facilitate, and document project scope
Facilitate root cause analysis
Perform data collection and analysis
Develop project plans, resource plans, and budgets
Monitor project status and report on progress
Apply process improvement/project management methods to reduce variation in processes
Assess business and operational needs for improvement opportunities
Review expectations/deliverables prepared by senior leadership/business owner
Coordinate deliverables with business owner and maintain project plan
Provide strong organization and effective communication skills to project stakeholders

Skills

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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