Become a part of our caring community and help us put health first
 

The Senior Process Improvement Professional is an autonomous, strategic thinker that works across functions and knowledge domains to create best business practices inside and outside of the Medicare Billing, Coordination of Benefits and Reconciliation organization. This professional will build upon our measurement foundation to analyze internal and external data to recommend and implement organizational changes, technologies, processes, and procedures that enhance safety, increase productivity, increase revenue, and reduce cost.

You will work in the Medicare Billing, Coordination of Benefits and Reconciliation organization.  Responsibilities may include:

• Demonstrate strategic management, business process leadership, and data analytics skills to define, measure, and deliver sustainable value.
• Optimize the business organization, structure, systems, and processes.
• Align business process to strategy, operational plans, and departmental objectives.
• Perform portfolio, program, and/or project management.
• Develop business cases, assign value to changes, and prioritize changes.
• Work with internal and external teams to define business opportunities that enhance safety, increase productivity, increase revenue, and reduce cost.
• Design and implement right-sized business systems and formulate automation plans.
• Analyze, define, right-size, and implement quality controls.
• Analyze, interpret, and display financial, health, competitive, and performance measurement data and use insights to optimize projects.
• Utilize Business Process Management (BPM) software to optimize processes.
• Map supplier inputs, business process, customer journey, and customer output.
• Apply change management and communication planning to projects.
• Represent Medicare Billing, Coordination of Benefits and Reconciliation to leadership, key stakeholders, and key business partners.

In addition to the stated requirements, you will also possess the below competencies:

• Self-organizing and autonomous.
• Big picture, systems thinker.
• Demonstrated ability in critical thinking and decision making.
• Ability to positively influence others.
• Strong written and verbal communication skills.
• Comfortable with change and ambiguity.

Use your skills to make an impact
 

Required Qualifications

• 3+ years of experience working in the healthcare solutions industry.
• 3+ years of experience working in a process improvement environment
• Experience working on cross-functional projects
• Experience analyzing, interpreting, and displaying financial, health, competitive, and performance measurement data.
• Proficient in Microsoft Office.
• Must be located within reasonable driving distance to Louisville, KY

Preferred Qualifications

• Bachelor’s Degree
• Experience with Medicare and/or Medicaid.
• Experience with Medicare Reconciliation and/or coordination of benefits
• Program and/or project management experience
• Experience working with BPM software.
• Experience working with in the software development lifecycle (SDLC)
• Advance Microsoft Excel skills (chart creation, macros, and pivot tables)
• Experience with Power BI and Lucid

Additional Information

This role is "remote/work at home", however, you must be located within driving distance to Humana's Louisville, KY offices.

Work at Home Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees 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 employees 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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a