[Remote] Senior Process Professional at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Ability to analyze and measure the effectiveness of existing business processes and develop sustainable, repeatable, and quantifiable business process improvements
Experience with moderately complex to complex issues requiring in-depth evaluation of variable factors
Knowledge of researching best business practices within and outside the organization to establish benchmark data
Skills in collecting and analyzing process data to recommend business practices and procedures focused on enhanced safety, increased productivity, and reduced cost
Ability to determine how new information technologies can support re-engineering business processes
Experience managing all aspects of a project from scoping through execution, ensuring completion on time and within budget
Adaptability to work in an environment with ever-changing legal, regulatory, and industry requirements and different personalities/project topics
Proficiency in defining the scope of a project, facilitating/documenting scope, root cause analysis, data collection/analysis, project planning, resource planning, and status reporting
Expertise in managing all phases of the project cycle: initiation (scope management), planning (activity definition/scheduling, resource planning, budgeting, risk management), execution (stakeholder/team/milestones management), control (scope verification/change control, cost/quality/risk monitoring), and closing (closeout, issue resolution, lessons learned, final documentation)
Ability to apply process improvement/project management methods to reduce variation and improve results
Capability to assess business/operational needs for efficiency/productivity/effectiveness/accuracy improvements
Familiarity with project standards: Charter, RACI Model/Roles and Responsibilities, Governance Structure, Project Plan, Risk/Issues Tracking
Understanding of financial ROI
Strong organization and effective communication skills (oral and written) with project stakeholders, including senior/executive leadership
Ability to conduct meetings and disseminate communication (agendas, minutes, project planning documents)
Experience coordinating deliverables with business owners and maintaining/driving project plans

Responsibilities

Research best business practices to establish benchmark data
Collect and analyze process data to initiate, develop, and recommend business practices/procedures for enhanced safety, productivity, and cost reduction
Determine how new technologies support business process re-engineering for automation, higher accuracy, and faster processing
Influence department strategy and make decisions on moderately complex to complex technical approaches without direction
Manage all aspects of projects from scoping to execution, on time and within budget
Apply process improvement methods to reduce process variation and improve results
Assess needs for process improvements in efficiency, productivity, effectiveness, and accuracy
Review expectations/deliverables from senior leadership/business owners
Coordinate deliverables with business owners and maintain/drive project plans
Facilitate meetings and communicate with stakeholders (agendas, minutes, documents)

Skills

Key technologies and capabilities for this role

Process ImprovementBusiness Process AnalysisBenchmarkingRoot Cause AnalysisChange ManagementProject ManagementData AnalysisProcess 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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