Senior Process Improvement Professional - Boston, United States - Humana

Description

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

The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

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 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 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 and Reconciliation to leadership, key stakeholders, and key business partners.

Use your skills to make an impact

Required Qualifications

• Bachelor's Degree
• Self-organizing and autonomous.
• Big picture, systems thinker.
• Experience in a healthcare solutions industry.
• Experience with program and/or project management.
• Experience with cross-functional projects.
• Experience with data analysis, interpretation, and display.
• Experience with performance excellence, business systems
• Demonstrated ability in critical thinking and decision making.
• Ability to positively influence others.
• Strong written and verbal communication skills.
• Comfortable with change and ambiguity.
• Open to new ways of working with process and process improvement.
• Passionate about continuously improving consumer experience.
• Proficient in Microsoft Office and Visio.

Preferred Qualifications

• Experience with Medicare and/or Medicaid.
• Experience with Medicare Reconciliation.
• Experience analyzing, interpreting, and displaying financial, health, competitive, and performance measurement data.
• Experience leading strategy and/or operational planning.
• Experience consulting to, and/or influencing, executive leadership.
• Experience influencing change in a matrix organization.
• Experience with business process management (BPM) software.
• Experience working with in the software development lifecycle.
• Experience with Microsoft Excel chart creation, macros, and pivot tables.
• Experience with Power BI.

Additional Information

Alert:

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from with instructions on how to add the information into your official application on Humana's secure website.

Interview Format: HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

WAH Home Statement:

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 recommended; 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

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Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$76,800 - $105,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our