# Senior Process Improvement Professional

**Company**: Humana Inc.
**Location**: Remote Nationwide
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $78,400 - $107,800 per year
**Category**: Operations
**Industry**: Healthcare

**Apply**: https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Nationwide/Senior-Process-Improvement-Professional_R-434663?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/senior-process-improvement-professional-b115b6f9-1eb/

## Description

The Senior Process Improvement Professional analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements.

Key Responsibilities:

- Lead end-to-end process improvement initiatives across D-SNP operations.

- Analyze operational workflows, identify root causes, and recommend sustainable solutions.

- Partner with business stakeholders, IT, compliance, claims, enrollment, customer service, and clinical teams.

- Develop business requirements, process maps, and future-state operational designs.

- Monitor and improve key performance indicators (KPIs), service levels, quality metrics, and compliance outcomes.

- Drive automation and modernization efforts to reduce manual work and operational risk.

- Facilitate cross-functional meetings, decision-making, and change management activities.

- Support regulatory readiness and adherence to CMS, state Medicaid, and Medicare requirements.

- Present findings, recommendations, and executive summaries to leadership.

Required Qualifications:

- Experience supporting Dual Eligible Special Needs Plans (D-SNP), Medicare Advantage, Medicaid, or government healthcare programs.

- Knowledge of CMS regulations and state Medicaid requirements.

- 3-5+ years of process improvement, operations, healthcare, or managed care experience.

- Strong analytical and problem-solving skills.

- Strong written and verbal communication skills, including executive presentations.

- Experience using process mapping and documentation tools (e.g., Lucid, Visio).

Preferred Qualifications:

- Bachelor’s degree in business, Healthcare Administration, Industrial Engineering, or related field.

- Familiarity with enrollment, eligibility, claims, care management, provider operations, or member services.

- Experience with root cause analysis and continuous improvement methodologies.

- Proven ability to influence stakeholders without direct authority.

- Experience leading complex, enterprise-wide initiatives, and process redesign efforts.

Additional Information:

- Work from home requirements: minimum download speed of 25 Mbps and upload speed of 10 Mbps, dedicated workspace.

- Occasional travel to Humana's offices for training or meetings may be required.

- Scheduled weekly hours: 40.

- Pay range: $78,400 - $107,800 per year.

- Eligible for a bonus incentive plan.

Benefits:

- Medical, dental, and vision benefits.

- 401(k) retirement savings plan.

- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).

- Short-term and long-term disability.

- Life insurance.

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## Skills

### Required
- process improvement
- operations
- healthcare
- managed care
- analytical skills
- communication skills
- process mapping
- documentation tools

### Nice to have
- Bachelor’s degree in business or related field
- root cause analysis
- continuous improvement methodologies
- influencing stakeholders
- complex initiative management

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Source: [Apply at humana.wd5.myworkdayjobs.com](https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Nationwide/Senior-Process-Improvement-Professional_R-434663?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)