Process Improvement Professional 2 - in office Louisville KY Waterside

Profile

Description

The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Process Improvement Professional 2 researches best business practices within and outside the organization to establish benchmark data. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: reconciliation queue management, benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

You will work in the Medicare Billing and Reconciliation area. Responsibilities may include:

Process improvement for reconciliation of government and Humana payments for Medicare

Reconciliation process improvement

Write business processes and procedures from data to business process to customer journey

Analyze the competitive landscape and apply learning to processes

Work autonomously or with minimal direction and thrive in ambiguity

Collaborate with key business partners, including: Actuarial Analytics/Forecasting, Product Development, Medicare and Medicaid Operations, Customer Service, IT Solutions Engineering, and IT project teams.

Required Qualifications:• High school diploma or equivalent• Experience in the design and/or development of business/quality systems (processes and procedures) and/or measurement systems• Knowledge of software development lifecycle• Proficient in Microsoft Office Suite and Microsoft Visio• Demonstrated ability for critical thinking and decision making• Ability to positively influence others• Strong written and verbal communication skills• Comfortable with change and ambiguity• Self-organizing and highly autonomous• Highly motivated to grow process improvement knowledge and skills• Passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications:• Bachelor's Degree• Experience with performance excellence standards, e.g., TQM, Baldrige, ISO9001, etc.• Recent Medicare reconciliation experience• Experience with business process management (BPM) systems• Senior leadership presentation experience• Six Sigma Green or Black Belt or experience with other performance or process improvement methodologies• Experience with implementation of automation and/or artificial intelligence• Experience influencing change in a matrix organization• Experience in the health solutions industry• Experience with measurement, balanced scorecards, and/or a KPI dashboard design and implementation• Experience with data modeling• Experience with Oracle, or other relational database• Power BI experience• Program and/or project management experience• Progressive business consulting and/or operational leadership experience

Additional Information• Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work. • Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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. If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire interview. In this interview, you will either receive a text or listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. #ThriveTogether #WorkAtHome

Scheduled Weekly Hours

40

About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

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Company info

Humana Inc.
Website : http://www.humana.com