About Humana


Job Category:

Business Services - Business Services


United States

Approximate Salary:

Not Specified

Position Type:

Full Time

This job has expired and you can't apply for it anymore. Start a new search.

Process Improvement Professional 2 - Humana Long-Term Care (Florida)

Humana - Work At Home, Florida

Posted: 11/11/2018


The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.


The Process Improvement Professional 2 researches best business practices within and outside the organization to establish benchmark data.

  • Recognizing and identifying opportunities for improved outcomes and contribute to  development of corporate and market programs.
  • Assist with developing actions to satisfy IOP.s
  • Contribute to the development of Vision Scope and Requirements (VSR) for Market.
  • Review AHCA LRRs , consults with Business Owner , develop action items  and facilitate with implementation.
  • Escalate any issues timely to the Director and Performance Improvement Manager.
  • Research and consults with various business areas to gain knowledge in order to compile reports for projects.
  • Establish RAID  and milestone trackers for business areas.
  • Compile Market data and resources  ITNs
  • Works closely with market leadership.
  • Plan, organize, implement and monitor special projects assigned by Director or Performance Improvement Manager.
  • Review Contract Amendment language for updated, additional, or discontinued plan requirements.
  • Create or update market Policies and Procedures to align with contract amendments.
  • Facilitate discussion/meeting/workshop with stakeholders to develop or update process flows, procedure documents, others.
  • Submit final draft of Policies and Procedures to Contracting Management, Compliance, and Legal.
  • Publish final Policies and Procedures to Mentor and SharePoint sites.
  • Facilitate training of new processes to market.
  • Communicate analysis to all market stakeholders.
  • Present analysis to Quality Improvement Committee quarterly.
  • Requires 25% travel (at least once per month), the rest will be work from home.


Required Qualifications

  • Bachelors Degree.
  • Minimum of 5 years of relevant experiences.
  • Intermediate to advance skills in PowerPoint, Excel, ACCESS, Microsoft Outlook and Visio.
  • Project management and process improvement expertise
  • Strong collaboration and communication skills.
  • Excellent analytical skill and presentation skills.
  • Strong organizational skills.
  • Must have accessibility to high speed DSL or Cable modem for a home office (No Satellite).
  • This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • AHCA Fingerprint Required.

Preferred Qualifications

  • LPN licensed in the state of Florida without restrictions in addition to a Bachelors Degree.
  • Previous leadership experience.
  • Experience with Humana Systems: CGX, PAAG, PMDM, CCP2, CDM, CDM,Enterprise
  • Clinical experience.
  • Previous Medicare/Medicaid experience a plus.
  • Prior nursing home diversion or long term care case management experience.

Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, a third-party vendor.  This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours


Apply Now
This job has expired and you can't apply for it anymore