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Senior Process Improvement Professional

Role overview

Qualifications

  • Bachelor’s Degree or equivalent work experience
  • 3+ years of full-time work experience in operations, project coordination, process management, business execution, regulatory operations, healthcare operations, or a related field
  • Strong organizational skills with the ability to manage multiple priorities and deadlines
  • Strong written and verbal communication skills, with the ability to coordinate effectively across cross-functional teams

Responsibilities

  • Lead progress and execution for assigned process improvements
  • Coordinate day-to-day activities for assigned CPES workstreams, including tracking milestones, timelines, deliverables, and implementation activities
  • Create, maintain, and update standard operating procedures, process maps, operational documentation, governance materials, and document review artifacts
  • Support governance meetings and follow-up activities, including tracking decisions, risks, issues, and action items

About the company

Humana logo

Humana

Health Insurance (Payers)

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.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

Become a part of our caring community
 

About Humana
Humana is a Fortune 60, publicly traded health benefits company with a long-standing reputation for innovation and transformation. As one of the nation’s largest health benefits organizations, Humana is committed to delivering consumer-focused health solutions that drive positive outcomes for members and communities.

The Consumer Products Enablement and Solutions (CPES) team ensures Humana’s insurance products remain competitive, compliant, and aligned with consumer needs. Team members work closely with leaders across the enterprise, supporting timely regulatory and operational execution while partnering with key business units to support strategic direction for insurance products.

The Senior Process Improvement Professional is responsible for managing CPES operational processes and supporting the successful execution of key regulatory and operational initiatives. This role helps ensure work is completed on time, processes are clearly documented, stakeholders are aligned, and operational activities are carried out consistently across the organization.

This position partners closely with the Process Improvement Lead and Director for assigned processes. The role supports governance, issue resolution, implementation readiness, and ongoing process improvement across the department’s enterprise operational portfolio.

Key Responsibilities

  • Lead progress and execution for assigned process improvements.

  • Coordinate day-to-day activities for assigned CPES workstreams, including tracking milestones, timelines, deliverables, and implementation activities.

  • Monitor progress against operational timelines and help ensure work is completed on schedule.

  • Create, maintain, and update standard operating procedures, process maps, operational documentation, governance materials, and document review artifacts.

  • Help ensure assigned processes are clear, current, consistently followed, and aligned with operational standards.

  • Partner with stakeholders across business areas to coordinate cross-functional deliverables and support alignment on assigned operational initiatives.

  • Support governance meetings and follow-up activities, including tracking decisions, risks, issues, and action items.

  • Facilitate clear communication across teams to support timely execution and stakeholder readiness.

  • Support operational readiness by preparing teams for implementation, monitoring required deliverables, identifying potential risks or gaps, and assisting with issue resolution and escalation as needed.

  • Identify opportunities to improve processes, increase efficiency, strengthen standardization, and apply lessons learned and best practices across enterprise operations.


Use your skills to make an impact
 

Required Qualifications

  • Bachelor’s Degree or equivalent work experience

  • 3+ years of full-time work experience in operations, project coordination, process management, business execution, regulatory operations, healthcare operations, or a related field

  • Experience managing operational processes, workstreams, timelines, deliverables, and stakeholder follow-up activities

  • Strong organizational skills with the ability to manage multiple priorities and deadlines

  • Demonstrated ability to create and maintain process documentation, standard operating procedures, process maps, or governance materials

  • Strong written and verbal communication skills, with the ability to coordinate effectively across cross-functional teams

  • Ability to identify risks, track issues, support resolution, and escalate concerns appropriately

  • Strong attention to detail and commitment to operational consistency and accuracy

  • Collaborative, flexible, and team-oriented working style

Preferred Qualifications

  • Lean Six Sigma Green Belt or Black Belt preferred, with demonstrated ability to apply process improvement methodologies to drive operational efficiency and measurable business outcomes

  • Background in supporting payor operations, with a focus on operational efficiency and process optimization

  • Experience supporting governance forums, executive reporting, operational readiness, or implementation planning.

  • Experience with process improvement, standardization, workflow documentation, or continuous improvement initiatives.

  • Familiarity with enterprise operations, product operations, compliance-driven processes, or annual product lifecycle activities.

  • Project management, process improvement, or healthcare-related certification.

Additional Information

  • Flexibility with work location; options include:

    • Humana’s New York office in Midtown Manhattan

    • Humana’s Washington, DC office

    • Humana’s headquarters in Louisville, Kentucky

    • Remote, with majority of work conducted on Eastern time

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

40

Pay 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.


 

$94,100 - $129,400 per year


 

This 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.

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Marcus Rivera

Chief Revenue Officer

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