Process Improvement Lead

Humana; United States; Remote; USD 95,000 - 131,000; Full time

Job summary

Humana is seeking a remote Process Improvement Lead reporting to an Associate VP, Financial Planning and Analysis, to help stand up and implement a new VA CCN Contract and improve claims and financial services operations. The role requires US citizenship, NBIS clearance, a Bachelor's degree, 5 years in operations supporting claims, 2 years in project management, and Lean Six Sigma or PM certification. Travel may be required.

40 hours/week. Eligible for a bonus.

Qualifications

• U.S. citizenship is required.
• Interim approval for NBIS security clearance.
• Puerto Rico cannot be considered under current contract.
• Bachelor’s degree required.
• 5 years of experience in operations supporting claims administration.
• 2 years of project management on large-scale projects.
• Lean Six Sigma or Project Management certification required.

Responsibilities

• Stand up and implement a new VA CCN Contract, establishing the operational framework, processes, and controls.
• Partner across teams to identify opportunities for process improvement and implement solutions that enhance performance in claims and financial services operations.
• Monitor and oversee claims and financial inventory, implementing workflow enhancements and operational controls.

Skills

Project management

Lean Six Sigma

Operations management

Education

Bachelor’s degree

Job description

Become a part of our caring community

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

The remote Process Improvement Lead will report to an Associate VP, Financial Planning and Analysis.

• You will help with the stand-up and implementation of a new VA CCN Contract, helping establish the operational framework, processes and controls necessary for execution of the contract.
• You will partner across multiple teams to identify opportunities for process improvement and implement solutions that enhance performance across the claims and financial services operations.
• You will monitor and have oversight of claims and financial inventory, implementing workflow enhancements and operational controls.

Use your skills to make an impact

Required Qualifications

• Our Department of Defense Contract requires U.S. citizenship for this position.
• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
• HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.
• Bachelor’s degree
• 5 years experience in Operations supporting claims administration
• 2 years project management experience to include large scale projects
• Lean Six Sigma or Project Management 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.

$94,900 - $130,500 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.

Application Deadline: 09-24-2026

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.