Be an early applicantLess than 25 applicants

Company

Humana · 17 hours ago

Process Improvement Professional

Remote Nationwide

Full-time

Remote

Mid Level

$65K/yr - $89K/yr

4+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

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Responsibilities

Research best business practices within and outside the organization to establish benchmark data.

Collect and analyze process data to initiate, develop, and recommend business practices and procedures that focus on enhanced safety, increased productivity, and reduced cost.

Determine how new information technologies can support re-engineering business processes.

May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements.

Review of internal quality metrics.

Support process improvement initiatives:

Assist in reviewing new Job Aids to support Training & Operations.

Review current Job Aids and Policies and Procedures as requested.

Create and present education as requested by the Process Improvement Lead.

Support Operations Managers in quality improvement initiatives:

Assist Managers in communicating audit findings to individuals and teams.

Communicate and manage remediation efforts with individuals.

Participates in Interrater Reliability (IRR) meetings and assists in the development of Interpretation Standards to guide audit scoring and increase consistency across the Process Improvement Team.

Participate in root cause analysis research for audits.

Qualification

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Process ImprovementHealth Plan ExperienceCompliance MeasuresAuditing PracticesMedicaid GuidelinesMedicare GuidelinesData InterpretationMicrosoft OfficeSix Sigma CertificationQuality ImprovementClinical Background

Required

Must work hours within the eastern or central standard time zones from a location within the United States.

Bachelor's degree -Or- 4+ years of equivalent experience.

2+ years of experience related to process improvement, compliance measures, or auditing practices.

Experience working within a health plan and understanding of Medicaid or Medicare guidelines.

Proven oral / written communication and presentation skills.

Excellent analytical skills, able to manipulate and interpret data.

Exceptional organizational and prioritization skills.

Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint.

Ability to work within highly structured contractual time compliance requirements with occasional short turnaround time.

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.

Humana will provide Home or Hybrid Home/Office associates 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.

Preferred

Six Sigma or Process Improvement certifications.

2+ years of previous quality or process improvement experience in a hospital or physician office practice.

Strong business skills, including sales and marketing objectives.

Clinical background or physician office practice / hospital experience.

Detail orientated and comfortable working with tight deadlines in a fast-paced environment.

Benefits

401(k)

Medical

Dental

Vision

Paid time off

Company and personal holidays

Volunteer time off

Paid parental and caregiver leave

Short-term and long-term disability

Life insurance

Company

Humana

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10001+ employees

http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)