Senior Process Improvement Professional at Humana

Posted in Other 6 days ago.

Location: Louisville, Kentucky

Job Description:


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.


Location: work at home anywhere, preference for Louisville, KY in office

The Humana Clinical & Pharmacy Solutions (CPS) Business Improvement team partners with CPS teams to improve processes that will help our members improve their lives through better health outcomes.

This role, within the Business Improvement (BI) team of CPS, will work closely with Humana Pharmacy Solutions (HPS) leaders and SMEs within the Pharmacy Benefit Manager (PBM), Clinical Strategies (CFS, CFA, CDPM), Humana Clinical Process Review (HCPR), as well as key partners in leading and delivering on initiatives and process capabilities that enable improved effectiveness, efficiency and experiences (member, provider and associate).

The Senior Process Improvement Professional:

  • Researches best business practices within and outside the organization to establish benchmark/current state data. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced experience, increased productivity/effectiveness and reduced cost. Determines how new information technologies can support re-engineering business processes.

  • Assists with specific improvement projects requested by business partners, using Lean techniques, PDCA, or DMAIC.

Key Responsibilities Include:

  • Execute process initiatives within the framework of a robust process management control system highlighting KPIs that provide team observations, insights and recommendations on actions to be taken

  • Further simplify and improve processes in conjunction with partners (i.e. PBM, Clinical Strategies, HCPR) that are informed by the ideal member, provider and associate experience, and are enabled through both technology and non-technology solutions

  • Participate and/or facilitate in IT requests, user acceptance testing and interface with various business improvement and technology teams

  • Develop policies / procedures associated with resulting process updates

  • Lead large scale initiatives, with ability to effectively manage competing priorities

Role Essentials

  • Bachelor's degree

  • 5 or more years of consulting and/or process improvement experience

  • Experience in leading process improvement initiatives with proven results

  • Strong business acumen and analytical skills in order to see the big picture and draw out insights and observations

  • Excellent verbal, written and presentation skills

  • High emotional intelligence

  • Excellent interpersonal, organizational, and communication skills

  • Problem solver with a proven ability to lead in a fast paced, highly complex organization

  • Ability to effectively interact with and influence all levels of the organization, including front line associates and senior leadership

  • Effectively leads through change

  • Ability to work across silos, gain consensus from senior leaders, and streamline processes that cross departmental lines

  • Adept at researching raw data and transforming it to make a business case

Role Desirables

  • Six Sigma Black Belt certification. (Able to TEACH it to people who may be skeptical)

  • Experience in Lean Principles. Demonstrated fluency with FMEA, Value Stream Mapping, SIPOC, Root Cause Analysis, PDCA / A3's.

  • Fluency with MS Access and use of VBA to facilitate automation of routine but complex tasks.

Additional Information

Humana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Scheduled Weekly Hours