Remote LTSS Process Improvement Pro for Medicaid Programs

Humana Inc; Santa Fe (NM); Remote; USD 65,000 - 89,000; Full time

Benefits offered by this job

Remote US

Travel opportunities

Job summary

Humana Inc. seeks a Process Improvement Professional II to support Medicaid implementation by translating requirements into operational docs and tools.

You will draft policies, workflows, and training content, coordinating with senior professionals and leads to ensure regulatory alignment and program readiness. The role emphasizes quality, compliance, and collaboration across markets, with a focus on document review, approvals, and process documentation to enable scalable, consistent Medicaid

Qualifications

• Bachelor's degree or 3 years’ equivalent experience in health plan operations.
• 2+ years’ experience supporting LTSS Provider, LTSS CM, or LTSS UM roles.

Responsibilities

• Draft, edit, and format policies, procedures, and program descriptions.
• Review member and provider manuals for consistency and compliance.
• Submit internal docs through review processes with proper version control.

Skills

Project management

Cross-functional collaboration

Documentation

Education

Bachelor's degree or 3 years’ equivalent experience

Tools

Smartsheet

OneNote

SharePoint

Job description

Humana Inc. seeks a Process Improvement Professional II to support Medicaid implementation by translating requirements into operational docs and tools.

You will draft policies, workflows, and training content, coordinating with senior professionals and leads to ensure regulatory alignment and program readiness. The role emphasizes quality, compliance, and collaboration across markets, with a focus on document review, approvals, and process documentation to enable scalable, consistent Medicaid