Strategic Process Improvement Lead - Provider Terminations

Humana Inc; Lincoln (NE); On-site; USD 115,000 - 158,000; Full time

Job summary

Humana, Inc. is seeking a Process Improvement Principal – Provider Terminations to drive end-to-end provider terminations with a data-driven approach across regions.

The role collaborates with Member Retention, Stars, Provider and Member Service, Sales, and Provider Network Operations in a remote CST/EST territory. You will analyze process data, benchmark practices, and lead improvements to enhance member experience, reduce costs, and increase productivity, while influencing senior leaders on

Qualifications

• 3+ years’ experience in the 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 across regions with key stakeholders.
• Oversees the process for coordinating and tracking provider terminations across regions.
• Autonomously works across teams to optimize operational processes for provider terminations.
• Oversees governance and progress against opportunity areas.
• Influences partners to simplify and improve processes using provider/member experience as a keystone.
• Identifies opportunity areas and prioritizes resources.
• Understands provider changes in advance to drive collaboration and touchpoint optimization.
• Develops insights on downstream impacts to Stars, member experience and provider contracting decisions.
• Leverages data analytics to drive insights, reporting, and leadership communications.

Skills

Payer contracting lifecycle

Provider terminations

Cross-functional leadership

Data analytics

Project leadership

Willingness to travel

Education

Bachelor's degree

Job description

Humana, Inc. is seeking a Process Improvement Principal – Provider Terminations to drive end-to-end provider terminations with a data-driven approach across regions.

The role collaborates with Member Retention, Stars, Provider and Member Service, Sales, and Provider Network Operations in a remote CST/EST territory. You will analyze process data, benchmark practices, and lead improvements to enhance member experience, reduce costs, and increase productivity, while influencing senior leaders on