Senior Process Improvement Lead – Provider Terminations

Humana Inc; Cheyenne (WY); On-site; USD 115,000 - 158,000; Full time

Job summary

Humana Inc. is seeking a Process Improvement Principal – Provider Terminations to lead end-to-end termination processes and drive improvements across regions. This remote role is eligible for hire anywhere within the CST/EST time zones.

The position focuses on leveraging data analytics, coordinating with stakeholders such as Member Retention, Stars, and Provider Network Operations, and reporting to the Director of Network Governance and Market Enablement.

Qualifications

• 3+ Years’ experience with payer/provider contracting lifecycle.
• Experience coordinating across multiple business areas to improve performance.
• 7+ years of experience in improving or creating business processes.
• 3+ years of project or people leadership.
• Willingness to travel up to 10%.
• Located in the Central or Eastern Time Zone.

Responsibilities

• Leads the strategy and approach for Humana’s termination processes with stakeholders.
• Oversees coordination of impacts of provider terminations across regions.
• Autonomously optimizes operational processes related to provider termination.
• Monitors governance and progress against opportunity areas.
• Influences partners to simplify and improve processes focusing on provider/member experience.
• Identifies and prioritizes additional opportunity areas.
• Understands provider changes to drive collaboration across touchpoints.
• Develops insights on downstream impacts on Stars and member experience.
• Uses data analytics to drive insights and leadership communications.

Skills

Provider termination domain knowledge

Cross-functional collaboration

Leadership & project management

Education

Bachelor's degree

Job description

Humana Inc. is seeking a Process Improvement Principal – Provider Terminations to lead end-to-end termination processes and drive improvements across regions. This remote role is eligible for hire anywhere within the CST/EST time zones.

The position focuses on leveraging data analytics, coordinating with stakeholders such as Member Retention, Stars, and Provider Network Operations, and reporting to the Director of Network Governance and Market Enablement.