高级流程改进专业人员
Senior Process Improvement Professional
成为我们关怀社区的一员
高级流程改进专家将领导设计和实施新的运营流程，以支持互操作性和医疗文档追踪工作。该职位负责从零开始构建流程，定义未来状态的工作流程，并将业务需求转化为清晰的运营和系统要求。高级流程改进专家将与业务、产品和IT团队合作，建立新功能，提高端到端流程性能，并确保流程可扩展、合规且具有操作可持续性。工作任务涉及中等复杂到复杂的问题，需要独立判断、跨职能协作和深入的流程分析。
*** 此职位是专门为协助Humana争取并过渡到新的商业机会而设立的。请注意，此职位的持续雇佣明确取决于Humana是否获得该商业机会以及能否顺利过渡到相关工作。如果Humana不继续推进该机会或认为无法及时且满意地完成过渡，雇佣可能会被终止。***
在此远程职位中，您将向VA CCN项目负责人副总裁汇报工作。
作为VA CCN项目负责人副手，您将成为VA领导团队的关键成员，直接支持VA CCN项目负责人（VPL）在退伍军人事务部（VA）社区护理网络计划的整体管理、执行和运营表现方面的工作。
您将支持副总裁、VPL在确保合同合规性、服务交付以及对退伍军人、提供者和VA利益相关者的支持方面提供战略和运营领导。副VPL将在跨职能团队之间担任联络人，并推动改进、运营卓越和实现项目目标。
职位描述
高级流程改进专家是互操作性和医疗文档追踪运营的全流程负责人和主题专家。该职位将评估业务需求，设计新工作流程，定义运营模型，并制定流程标准、控制措施和绩效指标以支持成功实施。该员工将与业务利益相关者、产品团队和IT紧密合作，记录系统需求
查看英文原文
Become a part of our caring community
The Senior Process Improvement Professional will lead the design and implementation of new operational processes to support interoperability and medical documentation chase work. This role is responsible for building processes from the ground up, defining future-state workflows, and translating business needs into clear operational and system requirements. The Senior Process Improvement Professional will work across business, product, and IT teams to stand up new capabilities, improve end-to-end process performance, and ensure processes are scalable, compliant, and operationally sustainable. Work assignments involve moderately complex to complex issues where independent judgment, cross-functional collaboration, and deep process analysis are required.
*** This position is created specifically to assist with Humana's efforts to secure and, if awarded, transition into a new business opportunity. Please note that continued employment in this role is expressly contingent upon Humana's receipt of the business opportunity and a satisfactory transition into the work. In the event Humana does not pursue the opportunity or determines that a timely and satisfactory transition cannot be achieved, employment may be subject to termination. ***
In this remote position you will report to the VP, VA CCN Program Leader.
As the Deputy VA CCN Program Leader, you will serve as a key member of the VA leadership team, directly supporting the VA CCN Program Leader (VPL) in providing overall management, execution, and operational performance of the Department of Veteran Affairs (VA) Community Care Network program.
You will support the VP, VPL in providing strategic and operational leadership to ensure contract compliance, service delivery, and support for Veteran's, providers, and VA stakeholders. The Deputy VPL serves as a liaison across cross-functional teams and helps drive improvement, operational excellence, and achievement of program objectives.Job Description
The Senior Process Improvement Professional serves as the end-to-end process owner and subject matter expert for interoperability and medical documentation chase operations. This role will assess business needs, design new workflows, define operating models, and develop process standards, controls, and performance measures to support successful implementation. The associate will partner closely with business stakeholders, product teams, and IT to document requirements for system functionality, identify dependencies, and ensure technology solutions align to operational needs.
The Senior Process Improvement Professional will map current and future-state processes, identify gaps, risks, and opportunities, and recommend sustainable solutions that improve accuracy, efficiency, and stakeholder experience. This role will help establish business rules, intake requirements, routing logic, exception handling, reporting needs, and governance processes for new work. The associate will also support change management, implementation planning, testing, and operational readiness activities to ensure successful launch and adoption.
The role requires developing deep expertise across the full end-to-end process, including upstream inputs, downstream impacts, stakeholder roles, system touchpoints, and compliance considerations. The Senior Process Improvement Professional makes decisions on moderately complex to complex issues regarding process design, requirements, and implementation approach, and performs work with limited direction while exercising considerable latitude in determining objectives and methods.
Use your skills to make an impact
Required Qualifications
- Lead the design and stand-up of new processes supporting interoperability and medical documentation chase operations, including defining the end-to-end operating model and implementation approach
- Build and maintain end-to-end workflows, including intake, triage, routing, exception handling, escalation paths, and reporting requirements
- Serve as the subject matter expert for the full operational process and associated system interactions, ensuring strong understanding of upstream inputs and downstream impacts
- Partner with business, product, and IT stakeholders to gather, document, and refine business and system requirements for new functionality
- Translate operational needs into functional requirements, business rules, user stories, process maps, and supporting documentation
- Facilitate cross-functional working sessions to define current-state, future-state, and target-state processes; identify gaps, risks, controls, and dependencies across teams and systems
- Recommend and implement sustainable process improvements that improve efficiency, quality, scalability, and operational readiness
- Support solution design, testing, training, SOP/job aid development, and change readiness activities for new process launches and enhancements
Preferred Qualifications
- Bachelor's degree or equivalent professional experience
- Experience standing up new processes, workflows, or operating models from the ground up
- Experience gathering, documenting, and refining business and system requirements
- Experience working cross-functionally with business, product, and IT stakeholders
- Strong written and verbal communication skills, including process documentation and executive-ready materials
- Strong analytical and problem-solving skills, including identifying process gaps, risks, and dependencies
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$78,400 - $107,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
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. Among our benefits, Humana provides 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 and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Originally posted on Himalayas