Enterprise Transformation Lead

Humana Inc; Frankfort (KY); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana Inc. invites applications for an Enterprise Transformation Lead to plan, perform, and implement end-to-end process improvements across divisional teams, with emphasis on provider operations.

Lead cross-functional initiatives from concept through closure using Lean or Six Sigma techniques, including risk and milestone management. The role supports Humana’s government contract efforts and requires US citizenship.

Qualifications

• Bachelor’s Degree in a related field.
• 8+ years technical experience in Payor Operations.
• 5+ years in project leadership.
• 5+ years in process improvement.
• 5+ years executive communications (reports, presentations, etc).
• US citizenship required for this Government Contract.

Responsibilities

• Lead cross-functional, end-to-end process improvement initiatives across divisional teams.
• Develop and manage project plans, charters, milestones, dependencies, risks, issues and deliverables.
• Diagram and evaluate existing processes to identify gaps and collect data for improvement.
• Advise on re-engineering techniques to improve performance and outcomes.
• Create and distribute communications (presentations, newsletters, updates) to drive stakeholder alignment.

Skills

Payor operations experience

Project leadership

Process improvement

Executive communications

Education

Bachelor’s Degree

Job description

Become a part of our caring community

The Enterprise Transformation Lead plans, performs and implements process improvement initiatives such as Lean or Six Sigma. The Enterprise Transformation Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

This position is created specifically to assist with Humana’s efforts to secure and, if awarded, transition into a new business opportunity. Please note that continued employment in this role is expressly contingent upon Humana’s receipt of the business opportunity and a satisfactory transition into the work. In the event Humana does

pursue the opportunity or determines that a timely and satisfactory transition cannot be achieved, employment may be subject to termination.

Plans, performs, and implements end-to-end process improvement and implementation initiatives across divisional or matrixed teams, with emphasis on provider implementation and/or provider operations knowledge. Leads highly visible, cross-functional initiatives from concept through closure, including development and management of project plans, project charters, milestones, dependencies, critical path, risks, issues, and deliverables.

Diagrams and evaluates existing processes, identifies operational gaps, and develops metrics that provide data for process measurement and future improvement opportunities. Collects and analyzes data to determine root cause of problems, measures performance against process requirements, and aligns improvement efforts to identified performance shortfalls.

Provides consultation on the use of re-engineering techniques to improve process performance, operational readiness, implementation outcomes, and product or service quality. Supports communication planning and execution by creating and distributing presentations, newsletters, status updates, articles, white papers, training materials, or other communications necessary to drive stakeholder alignment and successful resolution implementation.

Serves as a self-starter who takes initiative, owns complex assignments, and manages initiatives and deliverables through completion. Proactively identifies risks, drives mitigation strategies, escalates barriers as appropriate, and ensures outcomes are achieved rather than simply tracking tasks. May employ methodologies such as Lean or Six Sigma and perform cost-benefit analyses to support decision-making and continuous improvement.

Our Government Contract Requires US Citizenship for this Position.

Use your skills to make an impact

Required Qualifications

• Bachelor’s Degree
• 8+ years technical experience in Payor Operations
• 5+ years in project leadership
• 5+ years in process improvement
• 5+ years executive communications (reports, presentations, etc)
• Our Government Contract Requires US Citizenship for this Position

Preferred Qualifications

• Experience in healthcare services
• Six Sigma Black Belt and Agile certification

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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.

$115,200 - $158,400 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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 atHumana.comand atCenterWell.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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.