Remote Process Improvement Lead — Provider Terminations

Humana Inc; Dover (DE); On-site; USD 115,000 - 158,000; Full time

Job summary

Humana Inc. is seeking a Process Improvement Principal – Provider Terminations to guide end-to-end termination processes with data-driven strategy. This remote role supports CST/EST zones and collaborates with key stakeholders to optimize member experience and reduce costs.

Responsibilities include governance, cross-team collaboration, and driving insights from analytics to inform senior leaders. A Bachelor’s degree and 3+ years in contracting lifecycle are preferred.

Qualifications

• 3+ years in payer/provider contracting lifecycle.
• Experience leveraging multiple business areas to drive company performance.
• 7+ 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.

Responsibilities

• Leads the strategy and approach for Humana’s termination processes through collaboration with key stakeholders.
• Oversight of the process for coordinating and tracking impacts of provider terminations across regions.
• Work autonomously across teams to optimize operational processes related to provider termination, mitigating friction points.
• Overseeing governance and progress against opportunity areas.
• Influence partners to simplify and improve processes with provider/member experience as a key tenet.
• Identify additional opportunity areas and prioritize resources.
• Understand provider changes in advance to drive collaboration and touchpoint optimization.
• Develop insights about downstream impacts on Stars, member experience and provider contracting decisions.
• Leverage data analytics to drive insights, reporting, and leadership communications.
• Advise leadership on functional strategies with independent judgment.

Skills

Contracting lifecycle

Cross-functional collaboration

Process improvement

Leadership

Education

Bachelor's degree

Job description

Humana Inc. is seeking a Process Improvement Principal – Provider Terminations to guide end-to-end termination processes with data-driven strategy. This remote role supports CST/EST zones and collaborates with key stakeholders to optimize member experience and reduce costs.

Responsibilities include governance, cross-team collaboration, and driving insights from analytics to inform senior leaders. A Bachelor’s degree and 3+ years in contracting lifecycle are preferred.