Description

The Process Improvement Lead provides analysis of current medical management programs/initiatives to proactively identify and manage business process improvement opportunities. Lead and participate in efforts to design innovative and strategic business processes to create a sustainable competitive advantage and deliver administrative efficiencies. Develops and maintains positive relationships working closely with HGB directors, managers, SME’s and other key partners. Communicates in a clear, timely, accurate and meaningful manner.

Responsibilities

The Process Improvement Lead will provide project and program coordination to guide the implementation of new processes and process modifications; assist with change management and to minimize disruption and maximize impact. The consultant understands requirements in the broadest context of business problems and opportunities, and recommends solutions to enable innovative delivery of HGB’s value proposition

Key Accountabilities:

• 25% Proactively identifies improvement opportunities based on industry and competitive trends along with analysis of current processes and barriers.

• 25% Leads the design of innovative business processes and create sustainable competitive advantage and administrative efficiencies.

• 25% Provides analysis to major projects and improvement efforts. Develops and manages project plans for medical management projects. Assures process documentation meets current and future requirements and supports the successful implementation of business innovation.

• 15% Partners with leadership and other team members to create quality and value based offerings for our government customers.

• 10% Guides project and program implementation efforts and manages change to assure expected results are achieved.

Required Qualifications

• Our Department of Defense contract requires U.S. citizenship

• Successfully receive approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)

• Bachelor’s degree in business, healthcare administration, information systems or related field

• Lean Six Sigma Blackbelt

• 5 plus years of demonstrated Process Improvement technical experience

• 3 plus years of project management experience with large scale organizations

• Broad understanding of information systems and interactions with business operations

• Able to apply knowledge of new technology and business management concepts to improve operations

• Strong verbal and written communication, organizational, meeting facilitation, negotiation, follow-up, and problem-solving skills

• Detail oriented with excellent organizational and project management skills

• Critical thinker who can anticipate team needs and take initiative to present ideas, ask the right questions and deliver the highest quality work

• Problem solver who can find viable solutions that meets business needs, absent from all ideal tools and resources.

• Ability to prioritize and handle multiple tasks with concurrent deadlines

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Work at Home/Remote Requirements
To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

• PMP, CBAP, or CCP Certification

• Agile /Scrum certification (Agile Practitioner, Scrum Alliance, etc.)

• Prior experience with Agile development process in story writing

• Ability to work with project stakeholders and remote teams at all levels in the organization in a collaborative, team environment

• Master's Degree

Additional Information

Work Style: Remote

ALERT: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.

Interview Format:
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

This is a remote position
#LI-Remote

Scheduled Weekly Hours

40