Senior Process Improvement Professional

About the role

The Senior Process Improvement Professional analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable, and quantifiable business process improvements. This role within the Process Improvement (PI) team of Strategy Enablement will work closely with Pharmacy Benefits Management (PBM) leaders and key partners to deliver initiatives and process capabilities that enhance effectiveness, efficiency, and experiences for members, providers, and associates.

Responsibilities

• Own and deliver a portfolio of process improvement projects that collectively achieve quantifiable annual cost savings targets.
• Analyze and measure the effectiveness of existing business processes, considering industry benchmarks and business strategy, to identify areas for improvement.
• Partner with operations leadership to define and quantify initiatives that improve cost, quality, and outcomes, balancing cost reduction with quality improvements.
• Influence leadership and cross-functional partners through data-driven insights and compelling storytelling.
• Develop projects using DMAIC, PDCA, Kaizen, or other standard process improvement methodologies, identifying potential risks.
• Deliver quantifiable results with minimal supervision, making technical decisions and escalating issues as needed.
• Monitor project performance metrics to ensure organizational objectives in cost, efficiency, and quality are met.
• Accurately validate and report the financial impact (hard savings, soft savings, etc.) of all initiatives.
• Indirectly lead cross-functional teams to ensure project objectives are obtained and sustained.
• Research best business practices within and outside the organization to establish benchmark data.
• Define and lead business improvement projects aligned with business strategies and operational priorities.
• Collect and analyze process data to recommend practices that focus on member experience, productivity, efficiency, and cost reduction.
• Determine how new information technologies can support re-engineering business processes.

Requirements

• Lean Six Sigma Black Belt certification.
• Bachelor’s degree in Industrial Engineering, Business Administration, Healthcare Management, or a related quantitative field.
• 5+ years of experience in process engineering, continuous improvement, or operations management.
• Demonstrated success in planning and implementing process improvement initiatives, including tactical and strategic projects.
• Proven ability to influence and motivate at multiple levels of an organization.
• Strong analytical skills, with expertise in applying analytical techniques to business processes or data.
• Expertise in Project Management, Program Management, Problem Solving, and Issues Mitigation.
• Proficiency in developing and interpreting financial measures related to process improvement, cost modeling, and forecasting.
• Ability to integrate into and thrive as a member of a virtual team.

Preferred Qualifications

• Master Black Belt certification.
• Direct experience within Pharmacy Benefit Management (PBM).

Work at Home Requirements

• Self-provided internet service must meet the following criteria: minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable, or DSL connection suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.

Travel

Occasional travel to Humana's offices for training or meetings may be required.

Schedule

Scheduled Weekly Hours: 40

Pay

The pay range for this role is $78,400 - $107,800 per year, based on geographic location and individual qualifications. This role is eligible for a bonus incentive plan based on company and/or individual performance.

Benefits

Humana offers competitive benefits designed to support whole-person well-being, including:

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, including company and personal holidays, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance and other opportunities.