Manager, Process Improvement (Virginia Medicaid)

Become a part of our caring community and help us put health first
 Humana Healthy Horizons in Virginia is seeking a Manager, Process Improvement who will analyze and measure the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. The Manager, Process Improvement works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules, and goals.

• Leads a team of process improvement professionals as well as Quality Assurance Learning Design and Facilitation professionals.
• 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 and 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. 
• Monitors training personnel records to ensure that employees have met all company training requirements for company, quality, and regulatory compliance.
• Analyzes course evaluations to judge effectiveness of training sessions and to implement suggestions for improvements.
• Evaluates the relevance of online resources to complement the facilitated experience in the fields as appropriate.
• Participates in Virginia Department of Medical Assistance Services (DMAS) virtual and/or in-person trainings.
• Typically makes decisions related to identifying and resolving complex technical and operational problems within department(s).

Use your skills to make an impact
 

Required Qualifications

• Must reside in the Commonwealth of Virginia.
• Bachelor's Degree.
• Two (2) or more years process improvement or process design.
• Three (3) or more years of professional experience working with complex populations or in manage care settings.
• Two (2) or more years of management or supervisory experience.
• Intermediate to advance skills in MS Office Programs specifically MS Word, PowerPoint, and Excel.
• Effective communicator, verbally and written.
• Must be able to travel throughout the Commonwealth of Virginia.

Preferred Qualifications

• Experience with training and learning modules or materials to increase performance.
• Intermediate knowledge or better understanding of curriculum design and adult learning principles.
• Technical expertise in authoring tools and multiple instructional design platforms (i.e. SharePoint, Camtasia, Articulate, Illustrator, InDesign and Cornerstone).
• NCQA and CMS audit experience.
• Medical Management Systems experience.
• Six Sigma knowledge/Certification, PMP or Green Belt Certification.

Additional Information

• Workstyle: This is a Remote position that will …