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Process Improvement Professional

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Humana

1mo ago

  • Job
    Full-time
    Junior Level
  • Healthcare
    Business, Operations & Strategy
  • Virginia
    Remote

AI generated summary

  • You must reside in Virginia, have a relevant degree or LPN license, 2+ years in process improvement, and strong MS Office, analytical, communication, and organizational skills.
  • You will analyze data, support process improvements, conduct audits, develop metrics, create training materials, and assist in quality initiatives and communication of findings.

Requirements

  • Must reside in the Commonwealth of Virginia.
  • Bachelor's degree OR an active LPN license in the Commonwealth of Virginia without disciplinary action.
  • Two (2) or more years of professional experience related to process improvement, compliance measures, or auditing practices.
  • Clinical background in working with a health plans or hospital settings.
  • Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint.
  • Excellent analytical skills, able to manipulate and interpret data.
  • Proven oral / written communication and presentation skills.
  • Exceptional organizational and prioritization skills.
  • Ability to work within highly structured contractual time compliance requirements with occasional short turnaround time.

Responsibilities

  • Research 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: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements.
  • Performs audits focused on improving compliance and quality.
  • Focus audits – including annual and initial HRA compliance, post discharge and transition of care contacts.
  • Develops and reviews internal quality metrics.
  • Supports process improvement initiatives.
  • Assists in reviewing new Job Aids to support the Training & Operations team of Learning Design and Learning Facilitation staff.
  • Reviews current Job Aids and Policies and Procedures as requested.
  • Creates and presents education as requested by the Process Improvement Lead.
  • Supports Operations Managers in quality improvement initiatives.
  • Assists Managers in communicating audit findings to individuals and teams.
  • 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.
  • Participates in root cause analysis research for audits.
  • Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.

FAQs

What is the primary role of a Process Improvement Professional at Humana Healthy Horizons in Virginia?

The primary role is to analyze and measure the effectiveness of existing business processes and develop sustainable, repeatable, and quantifiable business process improvements.

What are the required qualifications for this position?

Required qualifications include residing in Virginia, having a Bachelor's degree or an active LPN license without disciplinary action, a minimum of two years of professional experience related to process improvement or auditing, and a clinical background in health plans or hospital settings.

Is travel required for this position?

Yes, some travel is required to support state and federal audits and for face-to-face collaborations and meetings in the Humana Healthy Horizons office in Glen Allen, VA.

What skills are essential for the Process Improvement Professional role?

Essential skills include excellent analytical capabilities, proficiency in Microsoft Office (Word, Excel, and PowerPoint), strong oral and written communication skills, and exceptional organizational abilities.

What is the work schedule for this position?

The work schedule is Monday through Friday from 8:00 am to 5:00 pm Eastern Standard Time (EST).

Are there opportunities for bonuses in this role?

Yes, this job is eligible for a bonus incentive plan based on company and/or individual performance.

What benefits does Humana offer to its employees in this position?

Humana offers competitive benefits that include medical, dental, and vision coverage, a 401(k) retirement savings plan, paid time off, short-term and long-term disability, life insurance, and other opportunities for well-being.

What kind of technologies might the Process Improvement Professional need to understand?

The role involves determining how new information technologies can support re-engineering business processes.

Is there an emphasis on compliance within this role?

Yes, the position includes performing audits focused on improving compliance and quality, as well as supporting process improvement initiatives related to compliance measures.

How does Humana view diversity and equal opportunity in hiring?

Humana is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability, or veteran status, and takes affirmative action to employ and advance all qualified persons.

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Humana

Science & Healthcare
Industry
1001-5000
Employees
1961
Founded Year

Mission & Purpose

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.

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