Become a part of our caring community
 

The Process Improvement Professional 2 supports corporate and market programs by identifying opportunities to improve outcomes, strengthen compliance, and enhance operational effectiveness. This role partners with business stakeholders to research and analyze business processes, develop action plans, document workflows, and update policies and procedures in alignment with state contract and regulatory requirements.
The position applies data, process mapping, and quality assurance practices to support compliance and continuous improvement across healthcare programs, including long-term care. The Process Improvement Professional 2 also facilitates meetings, communicates process and policy updates, and collaborates with systems partners to improve internal documentation tools and ensure processes are clear, current, and effective. Reports to the Regional Process Improvement Manager.

• Identify and execute process improvement opportunities that enhance outcomes and support corporate and market program performance.
• Partner with business stakeholders to develop, implement, and track corrective action plans that ensure ongoing program compliance.
• Research, analyze, and synthesize cross-functional inputs to define problems, validate root causes, and drive assigned initiatives to completion.
• Lead process mapping and procedure development using structured project management and continuous improvement methods.
• Interpret and apply state contract and regulatory requirements; proactively adjust processes to remain compliant.
• Maintain and update policies and procedures to reflect contract amendments; ensure changes are clearly documented and adopted by impacted teams.
• Collect, validate, and analyze operational and compliance metrics to identify trends, gaps, risks, and improvement opportunities; deliver actionable insights for leadership.
• Develop and deliver decision-support dashboards and visual analytics.

Use your skills to make an impact
 

Required Qualifications

• 1+ years of experience in quality, performance, compliance, or process improvement, with demonstrated experience supporting operational effectiveness and quality assurance initiatives.
• Project management experience.
• 1+ years of experience with Microsoft Power Platform tools (i.e., Power BI, Power Apps, Power Automate, Tableau).
• Up to 25% travel annually for training and site visits

Preferred Qualifications

• Project Management Certification
• Proficiency in understanding Healthcare related data/risk adjustment.
• Excel proficiency, as defined by the ability to alter macros, create and use pivot tables, formulas, v-lookups, and charts.

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.

 

$65,000 - $88,600 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.