• Job Description

  Req#: R-319464

  Become a part of our caring community and help us put health first
  

  The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. It is critical to ensure standardization of processes and documentation is followed across all business partners.
  
  This position is a part of a broader team with diverse capabilities to support Process Consultation & Improvement, Project Management and Strategic Consultation & Planning. The candidate will work in a team-based culture environment with an ability to adjust plans driven by regulatory or other external factors, internal factors, and/or strategic-level change.

  The HQRI Senior Program Delivery Professional analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. Work assignments involve documentation, design, and implementation of both existing and new processes spanning Stars/Quality, Risk Adjustment, Provider Programs, Interoperability.

  · Partners with key business partners to identify, plan and implement process standards, documentation and apply best practices.

  · Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on the customer experience, compliance adherence, and efficiency.

  · Initiate and implements business process improvement initiatives.

  · Ensure standardization of processes and process documentation across key business areas for both existing and new processes.

  · Collaborate cross-functionally on continuous improvement initiatives to drive business results.

  · Critical to support change management factors with any process improvements/changes

  · Ensures processes meet compliance standards and requirements.

  
  Use your skills to make an impact
  

  Required Qualifications

  • Bachelor's degree or equivalent
  • 5+ years of technical experience (demonstrated experience with process improvement, process design and implementation to include process mapping and development of procedural level documentation)
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, PowerPoint, and Visio
  • Strong analytic skills and ability to use data to drive improvement activities
  • Strong organizational and prioritization skills with the ability to collaborate with multiple departments
  • Excellent communication skills, written and verbal

  Preferred Qualifications

  • Master's Degree in Business Administration or a related field
  • PMP certification a plus
  • Knowledge and experience in health care environment/managed care
  • Strong analytical skills
  • Medicare Risk Adjustment and/or Stars experience
  • Six Sigma or Lean certification
  • Experience authoring high-level, mid- level, and click- level end-user content, such as policies, procedures, processes, and reference material
  • Familiar with Darwin Information Typing Architecture (DITA) and/or information mapping authoring styles
  • Project Management certification or experience leading large scale initiatives

  Additional Information

  To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

  As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

  Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

  Scheduled Weekly Hours

  40

  Pay Range

  The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

  
  

  $84,600 - $116,300 per year

  
  

  This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

  Description of Benefits

  Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

  
  About us
  

  Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

  
  Equal Opportunity Employer

  It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

• About the company

  Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs

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