Strategic Process Lead, Provider Terminations (Remote)

Humana Inc

Frankfort (KY)

On-site

USD 115,000 - 158,000

Full time

3 days ago

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Job summary

The Process Improvement Principal – Provider Terminations at Humana Inc. leads end-to-end optimization of provider termination workflows, delivering data-driven insights to reduce friction and improve member experience across regions.

This role reports to the Director, Network Governance and Market Enablement and is remote within CST/EST time zones. You will collaborate with multiple stakeholders, analyze process data, drive change, and leverage analytics to inform leadership decisions while

Qualifications

3+ Years’ experience in the payer/provider contracting lifecycle.
Experience leveraging multiple business areas to drive company performance.
7 or more 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.
Preferred: Bachelor's degree.

Responsibilities

Leads strategy for termination processes with stakeholders across Humana.
Oversight of coordinating and tracking impacts of provider terminations.
Autonomous collaboration across teams to optimize provider termination processes.
Overseeing governance and progress against opportunity areas.
Influence partners to simplify and improve processes focusing on member/provider experience.
Identify additional opportunities and prioritize resources.
Understand provider changes to drive collaboration and touchpoints.
Develop insights on downstream impacts to Stars, member experience and contracting.
Leverage data analytics to drive insights, reporting, and leadership communications.