Process Improvement Principal

Job Description

REQUIREMENTS

• 3+ Years’ experience in the payer/provider contracting lifecycle
• Experience leveraging multiple business areas to drive company performance
• 7 or more years of improving or creating business processes
• 3+ years of project or people leadership
• Ability and willingness to travel up to 10% of the time
• Located in the Central or Eastern Time Zone

Preferred

• Bachelor’s degree
• Customer service/account management leadership experience

RESPONSIBILITES

• Leads the strategy and approach for Humana’s termination processes through collaboration with key stakeholders, including but not limited to Member Retention, Stars, Provider and Member Service, Sales, and Provider Network Operations
• Oversight of the process for coordinating and tracking impacts of potential/likely provider terminations across all regions
• Ability to work autonomously across teams to optimize every aspect of the operational processes related to processing a provider termination, with emphasis identifying and mitigating associate, member and provider friction points
• Overseeing governance and progress against opportunity areas
• Ability to influence key partners to simplify and improve business processes, using the provider and member experience as a key tenet
• Identifying additional opportunity areas and prioritizing resources against them
• Understanding provider changes in advance to drive collaboration opportunities resulting in optimized associate, member and provider touchpoints
• Developing key insights around the downstream impacts of provider terminations around Stars, member experience and retention, and provider contracting decisions
• Leveraging data analytics to drive business insights, reporting, and leadership communications around provider terminations
• Advising leadership of functional strategies while exercising independent judgment and decision making on complex issues with minimal supervision

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