Process Improvement Lead

4 weeks ago


Frankfort, Kentucky, United States Humana Full time
Job Summary

We are seeking a highly skilled Process Improvement Lead to join our team at Humana. As a key member of our organization, you will be responsible for analyzing and measuring the effectiveness of existing business processes and developing sustainable, repeatable, and quantifiable business process improvements and best practices.

Key Responsibilities
  • Analyze current Medicaid long-term support and services programs to identify areas for improvement.
  • Research, analyze, and interpret state contracts and responses.
  • Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources.
  • Oversee the creation, review, and update of program descriptions to align with evolving Medicaid requirements.
  • Collaborate with relevant stakeholders to ensure accuracy and completeness of program descriptions.
  • Interpret complex regulations and processes to translate them into easily understandable policies and procedures.
  • Establish and maintain policies and procedures governing Medicaid long-term supports and services.
  • Lead initiatives to streamline processes related to Medicaid services, reducing administrative burden and enhancing service delivery.
  • Collaborate with internal teams, external partners, and Medicaid agencies to ensure alignment with program goals and objectives.
  • Act as a liaison between the organization and regulatory bodies, fostering positive relationships.
Requirements
  • Bachelor's degree in Business or a related field or a minimum five (5) years business experience.
  • Two (2) or more years in project leadership experience.
  • Experience problem-solving and consultation within complex environments.
  • Facilitating and driving cross-functional teams' efforts.
  • Strong influencing and process implementation skills.
  • Successfully demonstrated delivering presentations to senior leaders.
Preferred Qualifications
  • Master's degree in Business, Operations Management, Healthcare Administration, or related field.
  • Eight (8) plus years business experience.
  • Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies.
  • Possess a solid understanding of operations, technology, communications, and processes.
Work Environment

This role is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.



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