FreshRemote.Work

Senior Process Improvement Professional

Remote US

Become a part of our caring community and help us put health first
 The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Process Improvement Professional analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

  • Responsible for initiating, developing, and recommending best business practices and procedures for physical health clinical and nonclinical team processes

  • DRI for overseeing revamp, maintenance and governance of Clinical Operations SharePoint site.

  • Ensures operational processes align with governing and NCQA requirements. 

  • Executes on process improvement/development and evaluation strategy and analyzes results

  • Makes recommendations for improvement based on analysis of results

  • Works with process improvement team to create processes and provide direction on implementation of process. This includes, but is not limited to things such as creating processes and executing on process roll out and communication, tracking implementation of processes

  • Evaluates processes to ensure up-to-date and works with trainers to ensure ability of associates to perform needed skills.

  • Provides coaching and feedback and develops other process improvement team members to deliver consistent process improvement experiences across all clinical operations processes.

Subject Matter Expertise Coordination

  • Develop/leverage subject expertise on systems and processes that support Humana Healthy Horizons National Operations team to lead content direction for learning and development efforts

  • Build relationships with other subject matter experts and engage them when appropriate to contribute content for process design and developmental efforts

  • Develop cross-functional relationships with other process functions to leverage existing processes to meet clinical needs. Share information and content developed for clinical curriculum to other areas that support the clinical area.

  • When needed, work with learning facilitators to design and develop training materials with support from learning consultants


Use your skills to make an impact
 

Required Qualifications

  • Associate's degree or 5 years combination clinical process improvement and quality experience

  • Intermediate to Advanced proficiency with the ability to navigate multiple screens and databases with proficiency with …

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Job Profile

Regions

North America

Countries

United States

Restrictions

California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Montana Remote US South Dakota Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota Workstyle

Benefits/Perks

401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Coaching Competitive benefits Dental Disability Feedback Flexible schedule Holidays Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Remote work Smart healthcare decisions Supportive community Support whole-person well-being Time off Vision Vision Benefits Volunteer time Volunteer time off Work From Home

Tasks
  • Analysis
  • Analyze business processes
  • Coaching
  • Communication
  • Create training materials
  • Evaluate operational processes
  • Process Improvement
  • Process Improvements
  • Project management
  • Provide coaching
  • Training
  • Utilization Management
Skills

Analysis BI Business Business Analysis Business Process Clinical Clinical operations Coaching Communication Compensation Consumer Experiences Data Databases Data evaluation Data Presentation Dental Emotional Intelligence Excel Functions Governance Healthcare Healthcare experience Healthcare services HIPAA Insurance Leadership Lean Lean Six Sigma Life Insurance Lucid Management Medicaid Medicare Microsoft Microsoft Office NCQA Operational processes Operations Organization Policy PowerPoint Presentations Process design Process Improvement Project Management Recruitment SharePoint Strategy Teams Training Travel Utilization management Vision Wellness Word Zoom

Experience

5 years

Education

Associate Associates Associate's Degree Bachelor's Bachelor's degree Business Communication Education Healthcare Higher IT Management

Certifications

Lean

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9