Become a part of our caring community
 

This role is responsible for end-to-end process governance, operational oversight, and execution alignment across assigned deliverables. This role ensures processes are clearly defined, documented, standardized, and consistently executed while maintaining visibility into milestones, dependencies, risks, and overall readiness.

Acting as a central process orchestrator, this role partners across cross-functional teams to drive alignment, execution flow, operational discipline, and process consistency. The Process Optimization Lead proactively identifies process gaps, inefficiencies, and operational risks, translating insights into actionable improvements using Lean Six Sigma methodologies.

This role operates at a process governance and oversight level, ensuring processes are scalable, efficient, and aligned to enterprise objectives while partnering with accountable teams responsible for downstream execution.

Process Governance & End-to-End Oversight

• Provide end-to-end process governance and operational oversight across assigned deliverables, ensuring alignment from intake through execution and downstream readiness

• Establish and maintain process governance frameworks, including ownership structures, escalation paths, decision rights, and RACI models

• Ensure process standardization, consistency, and adherence across cross-functional teams while identifying and reducing unnecessary variation

• Serve as the central point of visibility into process health, readiness, risks, dependencies, and execution status

• Maintain operational oversight of process controls, governance checkpoints, and execution expectations across the process lifecycle

 

Process Design, Documentation & Standardization

• Lead development and maintenance of process documentation, including SOPs, process maps, swim lanes, playbooks, and governance artifacts

• Utilize Lean Six Sigma methodologies and tools (SIPOC, value stream mapping, root cause analysis, DMAIC) to design, refine, and optimize processes

• Ensure processes remain audit-ready, compliant, and aligned with regulatory, operational, and business requirements

• Drive adoption of standardized processes and operational best practices across teams

 

Cross-Functional Alignment & Execution Management

• Partner with cross-functional teams to align on timelines, deliverables, dependencies, and execution sequencing

• Facilitate structured working sessions to resolve ambiguities, clarify responsibilities, and support decision-making

• Coordinate process handoffs and interdependencies to ensure seamless execution flow and operational readiness

• Serve as a liaison across business, operational, and technical stakeholders to drive alignment and accountability

 Project & Program Management

• Manage integrated project plans, governance milestones, critical paths, and interdependencies across initiatives

• Monitor progress against key milestones and proactively identify, escalate, and mitigate risks, issues, and blockers

• Drive operational status reporting, executive updates, and stakeholder communications with clarity and precision

• Establish governance cadences, tracking mechanisms, and reporting structures to maintain visibility into program health and readiness

 Continuous Improvement & Operational Excellence

• Identify process gaps, inefficiencies, bottlenecks, and operational risks through data analysis and stakeholder feedback

• Lead root cause analysis (RCA) and corrective/preventive action planning (CAPA)

• Translate findings into actionable process improvement opportunities using Lean Six Sigma and continuous improvement methodologies

• Partner with execution teams to transition, operationalize, and sustain approved process improvements

 

Risk Management & Readiness

• Proactively assess and manage operational risks, process vulnerabilities, and downstream impacts

• Define and monitor readiness checkpoints across all phases of the process lifecycle

• Maintain visibility into capacity constraints, operational impacts, and delivery risks

• Support contingency planning and readiness mitigation strategies

 

Performance Monitoring & Reporting

• Define, monitor, and report on KPIs, SLAs, process metrics, and operational performance indicators

• Develop dashboards and reporting tools to provide visibility into process performance and readiness

• Conduct trend analysis to identify optimization opportunities and emerging risks

• Present insights, recommendations, and operational updates to leadership in a concise and actionable manner

 Change Management & Adoption

• Support change management and process adoption strategies for new or updated processes

• Develop communications, training materials, and supporting documentation to reinforce process compliance and operational consistency

• Promote a culture of continuous improvement, accountability, and operational discipline

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s Degree in Business, Operations Management, Healthcare Administration, or related field

• 4+ years of experience in process management, operations, program management, or project management

• Demonstrated experience with end-to-end process governance and cross-functional coordination

• Strong knowledge of project management methodologies (Waterfall, Agile, or hybrid models)

• Experience leading process improvement initiatives using Lean or Six Sigma methodologies

• Proven ability to manage complex workflows, dependencies, competing priorities, and operational risks

• Advanced experience with process mapping, workflow design, and process documentation tools

• Strong analytical, problem-solving, and root cause analysis capabilities

• Excellent communication and stakeholder management skills with the ability to influence without direct authority

Preferred Qualifications

• Master’s Degree in Business Administration (MBA), Operations Management, Project or Program Management, Industrial Engineering, Systems Engineering, Healthcare Administration, or related discipline

• Prior experience strategizing on how processes should be restructured

• Lean Six Sigma Green Belt or Black Belt certification

• PMP, PgMP, or equivalent project management certification

• Experience within highly regulated environments (healthcare, insurance, CMS, or compliance-driven operations)

• Experience supporting large-scale cross-functional programs, operational readiness initiatives, or enterprise implementations

• Familiarity with process governance models, operational frameworks, and implementation lifecycle management

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.

 

$94,900 - $130,500 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 06-16-2026

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.