Senior Process Improvement Professional
Humana · Kentucky, United States · 2 days ago
RemoteRemoteManagement$78k–$108k/yrFull-time
We need to output HTML fragment with sections: headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate (EEO, legal, etc). Must preserve? Actually remove EEO/equal-opportunity/scam-warning boilerplate). Also remove duplicated lines, application instructions. Keep substantive info.
We need to parse the posting.
Key content:
- Intro: "Become a part of our caring community The Senior Process Improvement Professional will lead the design and implementation of new operational processes to support interoperability and medical documentation chase work. This role is responsible for building processes from the ground up, defining future-state workflows, and translating business needs into clear operational and system requirements. The Senior Process Improvement Professional will work across business, product, and IT teams to stand up new capabilities, improve end-to-end process performance, and ensure processes are scalable, compliant, and operationally sustainable. Work assignments involve moderately complex to complex issues where independent judgment, cross-functional collaboration, and deep process analysis are required."
- Contingent note: "This position is created specifically to assist with Humana's efforts to secure and, if awarded, transition into a new business opportunity. Please note that continued employment in this role is expressly contingent upon Humana's receipt of the business opportunity and a satisfactory transition into the work. In the event Humana does not pursue the opportunity or determines that a timely and satisfactory transition cannot be achieved, employment may be subject to termination."
- Remote position: "In this remote position you will report to the VP, VA CCN Program Leader. As the Deputy VA CCN Program Leader, you will serve as a key member of the VA leadership team, directly supporting the VA CCN Program Leader (VPL) in providing overall management, execution, and operational performance of the Department of Veteran Affairs (VA) Community Care Network program. You will support the VP, VPL in providing strategic and operational leadership to ensure contract compliance, service delivery, and support for Veteran's, providers, and VA stakeholders. The Deputy VPL serves as a liaison across cross-functional teams and helps drive improvement, operational excellence, and achievement of program objectives."
- Job Description: "The Senior Process Improvement Professional serves as the end-to-end process owner and subject matter expert for interoperability and medical documentation chase operations. This role will assess business needs, design new workflows, define operating models, and develop process standards, controls, and performance measures to support successful implementation. The associate will partner closely with business stakeholders, product teams, and IT to document requirements for system functionality, identify dependencies, and ensure technology solutions align to operational needs. The Senior Process Improvement Professional will map current and future-state processes, identify gaps, risks, and opportunities, and recommend sustainable solutions that improve accuracy, efficiency, and stakeholder experience. This role will help establish business rules, intake requirements, routing logic, exception handling, reporting needs, and governance processes for new work. The associate will also support change management, implementation planning, testing, and operational readiness activities to ensure successful launch and adoption. The role requires developing deep expertise across the full end-to-end process, including upstream inputs, downstream impacts, stakeholder roles, system touchpoints, and compliance considerations. The Senior Process Improvement Professional makes decisions on moderately complex to complex issues regarding process design, requirements, and implementation approach, and performs work with limited direction while exercising considerable latitude in determining objectives and methods."
- Required Qualifications: list bullet points (starting with "Use your skills to make an impact" then bullet list). Actually the text: "Required Qualifications Use your skills to make an impact Lead the design and stand-up of new processes supporting interoperability and medical documentation chase operations, including defining the end-to-end operating model and implementation approachBuild and maintain end-to-end workflows, including intake, triage, routing, exception handling, escalation paths, and reporting requirementsServe as the subject matter expert for the full operational process and associated system interactions, ensuring strong understanding of upstream inputs and downstream impactsPartner with business, product, and IT stakeholders to gather, document, and refine business and system requirements for new functionalityTranslate operational needs into functional requirements, business rules, user stories, process maps, and supporting documentationFacilitate cross-functional working sessions to define current-state, future-state, and target-state processes; identify gaps, risks, controls, and dependencies across teams and systemsRecommend and implement sustainable process improvements that improve efficiency, quality, scalability, and operational readinessSupport solution design, testing, training, SOP/job aid development, and change readiness activities for new process launches and enhancements"
These are bullet points but not separated by line breaks; they are concatenated. We need to treat them as list items. We'll split by each sentence starting with a verb? Let's parse:
1. Lead the design and stand-up of new processes supporting interoperability and medical documentation chase operations, including defining the end-to-end operating model and implementation approach
2. Build and maintain end-to-end workflows, including intake, triage, routing, exception handling, escalation paths, and reporting requirements
3. Serve as the subject matter expert for the full operational process and associated system interactions, ensuring strong understanding of upstream inputs and downstream impacts
4. Partner with business, product, and IT stakeholders to gather, document, and refine business and system requirements for new functionality
5. Translate operational needs into functional requirements, business rules, user stories, process maps, and supporting documentation
6. Facilitate cross-functional working sessions to define current-state, future-state, and target-state processes; identify gaps, risks, controls, and dependencies across teams and systems
7. Recommend and implement sustainable process improvements that improve efficiency, quality, scalability, and operational readiness
8. Support solution design, testing, training, SOP/job aid development, and change readiness activities for new process launches and enhancements
- Preferred Qualifications: list bullet points: "Bachelor's degree or equivalent professional experienceExperience standing up new processes, workflows, or operating models from the ground upExperience gathering, documenting, and refining business and system requirementsExperience working cross-functionally with business, product, and IT stakeholdersStrong written and verbal communication skills, including process documentation and executive-ready materialsStrong analytical and problem-solving skills, including identifying process gaps, risks, and dependencies"
Split:
1. Bachelor's degree or equivalent professional experience
2. Experience standing up new processes, workflows, or operating models from the ground up
3. Experience gathering, documenting, and refining business and system requirements
4. Experience working cross-functionally with business, product, and IT stakeholders
5. Strong written and verbal communication skills, including process documentation and executive-ready materials
6. Strong analytical and problem-solving skills, including identifying process gaps, risks, and dependencies
- Work at Home Requirements: "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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information."
- Travel: "While this is a remote position, occasional travel to Humana's offices for training or meetings may be required."
- Scheduled Weekly Hours: "40"
- Pay Range: "$78,400 - $107,800 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: paragraph about benefits.
- About Us: paragraph about Humana.
We need sections: About the role (maybe intro), Responsibilities (maybe job description), Requirements (maybe required qualifications), Qualifications (maybe preferred qualifications), Skills (maybe combine?), Benefits, Pay, Schedule.
We must not create sections with filler. So we need to decide which sections have substantive content.
We have:
- About the role: could be the introductory paragraph(s) describing role purpose, reporting, etc. That's substantive.
- Responsibilities: could be the job description bullet list (the long paragraph about responsibilities). That's substantive.
- Requirements: could be Required Qualifications list.
- Qualifications: could be Preferred Qualifications list.
- Skills: maybe we could combine some skill statements from required/preferred? But we already have Required and Preferred; maybe we can omit Skills if not distinct. The instruction: prefer a few substantive sections over many thin ones. So we could combine Required and Preferred into Qualifications? But they said use headings like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can include both Requirements and Qualifications if they have content. Skills maybe not needed if not distinct.
- Benefits: we have description.
- Pay: we have pay range and bonus.
- Schedule: we have scheduled weekly hours 40 and maybe travel? Travel could be part of Schedule? But schedule section is for hours; we have 40 hours per week. Travel is separate but could be omitted or placed under Schedule? Probably better to include Schedule with weekly hours and note travel? The instruction: include a section ONLY when posting has real, specific content for it. So we have schedule: "Scheduled Weekly Hours 40". That's specific. Travel is separate but could be omitted or maybe included under Schedule? Might be better to include Schedule with weekly hours and maybe mention occasional travel. But travel is not schedule per se; but we could include it under Schedule as note. However we should not invent content; we can include travel as a separate line under Schedule if we want. But we need to decide.
We also have Work at Home Requirements (internet speed, dedicated space). That could be under Schedule? Not really. Could be under Requirements? Might be considered as "Work at Home Requirements". There's no heading for that in the list; but we could incorporate into Requirements or maybe under a separate section like "Work Arrangements". But not in allowed headings. The allowed headings list includes About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to fit content into those.
Thus:
- About the role: intro + reporting + contingent note? The contingent note about employment being contingent could be part of About the role.
- Responsibilities: the detailed job description paragraph (the long one after "Job Description").
- Requirements: Required Qualifications list.
- Qualifications: Preferred Qualifications list.
- Skills: maybe we can omit if not distinct; but we could extract skill statements from Required/Preferred? However we already have those. Could combine Required and Preferred into Qualifications and omit Skills. But we need to follow instruction: prefer a few substantive sections over many thin ones. So maybe we combine Required and Preferred into a single "Qualifications" section, and omit Requirements and Skills. But the instruction says use headings like those; but we can omit sections if not needed. So we could have About the role, Responsibilities, Qualifications, Benefits, Pay, Schedule. That seems reasonable.
Let's see if we have enough content for each:
- About the role: include introductory paragraphs, reporting line, contingent note, remote position description.
- Responsibilities: include the job description paragraph (the long one after "Job Description").
- Qualifications: include both Required and Preferred qualifications (maybe split into two subheadings? But we can't add extra headings beyond allowed? We could still use
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate (EEO, legal, etc). Must preserve? Actually remove EEO/equal-opportunity/scam-warning boilerplate). Also remove duplicated lines, application instructions. Keep substantive info.
We need to parse the posting.
Key content:
- Intro: "Become a part of our caring community The Senior Process Improvement Professional will lead the design and implementation of new operational processes to support interoperability and medical documentation chase work. This role is responsible for building processes from the ground up, defining future-state workflows, and translating business needs into clear operational and system requirements. The Senior Process Improvement Professional will work across business, product, and IT teams to stand up new capabilities, improve end-to-end process performance, and ensure processes are scalable, compliant, and operationally sustainable. Work assignments involve moderately complex to complex issues where independent judgment, cross-functional collaboration, and deep process analysis are required."
- Contingent note: "This position is created specifically to assist with Humana's efforts to secure and, if awarded, transition into a new business opportunity. Please note that continued employment in this role is expressly contingent upon Humana's receipt of the business opportunity and a satisfactory transition into the work. In the event Humana does not pursue the opportunity or determines that a timely and satisfactory transition cannot be achieved, employment may be subject to termination."
- Remote position: "In this remote position you will report to the VP, VA CCN Program Leader. As the Deputy VA CCN Program Leader, you will serve as a key member of the VA leadership team, directly supporting the VA CCN Program Leader (VPL) in providing overall management, execution, and operational performance of the Department of Veteran Affairs (VA) Community Care Network program. You will support the VP, VPL in providing strategic and operational leadership to ensure contract compliance, service delivery, and support for Veteran's, providers, and VA stakeholders. The Deputy VPL serves as a liaison across cross-functional teams and helps drive improvement, operational excellence, and achievement of program objectives."
- Job Description: "The Senior Process Improvement Professional serves as the end-to-end process owner and subject matter expert for interoperability and medical documentation chase operations. This role will assess business needs, design new workflows, define operating models, and develop process standards, controls, and performance measures to support successful implementation. The associate will partner closely with business stakeholders, product teams, and IT to document requirements for system functionality, identify dependencies, and ensure technology solutions align to operational needs. The Senior Process Improvement Professional will map current and future-state processes, identify gaps, risks, and opportunities, and recommend sustainable solutions that improve accuracy, efficiency, and stakeholder experience. This role will help establish business rules, intake requirements, routing logic, exception handling, reporting needs, and governance processes for new work. The associate will also support change management, implementation planning, testing, and operational readiness activities to ensure successful launch and adoption. The role requires developing deep expertise across the full end-to-end process, including upstream inputs, downstream impacts, stakeholder roles, system touchpoints, and compliance considerations. The Senior Process Improvement Professional makes decisions on moderately complex to complex issues regarding process design, requirements, and implementation approach, and performs work with limited direction while exercising considerable latitude in determining objectives and methods."
- Required Qualifications: list bullet points (starting with "Use your skills to make an impact" then bullet list). Actually the text: "Required Qualifications Use your skills to make an impact Lead the design and stand-up of new processes supporting interoperability and medical documentation chase operations, including defining the end-to-end operating model and implementation approachBuild and maintain end-to-end workflows, including intake, triage, routing, exception handling, escalation paths, and reporting requirementsServe as the subject matter expert for the full operational process and associated system interactions, ensuring strong understanding of upstream inputs and downstream impactsPartner with business, product, and IT stakeholders to gather, document, and refine business and system requirements for new functionalityTranslate operational needs into functional requirements, business rules, user stories, process maps, and supporting documentationFacilitate cross-functional working sessions to define current-state, future-state, and target-state processes; identify gaps, risks, controls, and dependencies across teams and systemsRecommend and implement sustainable process improvements that improve efficiency, quality, scalability, and operational readinessSupport solution design, testing, training, SOP/job aid development, and change readiness activities for new process launches and enhancements"
These are bullet points but not separated by line breaks; they are concatenated. We need to treat them as list items. We'll split by each sentence starting with a verb? Let's parse:
1. Lead the design and stand-up of new processes supporting interoperability and medical documentation chase operations, including defining the end-to-end operating model and implementation approach
2. Build and maintain end-to-end workflows, including intake, triage, routing, exception handling, escalation paths, and reporting requirements
3. Serve as the subject matter expert for the full operational process and associated system interactions, ensuring strong understanding of upstream inputs and downstream impacts
4. Partner with business, product, and IT stakeholders to gather, document, and refine business and system requirements for new functionality
5. Translate operational needs into functional requirements, business rules, user stories, process maps, and supporting documentation
6. Facilitate cross-functional working sessions to define current-state, future-state, and target-state processes; identify gaps, risks, controls, and dependencies across teams and systems
7. Recommend and implement sustainable process improvements that improve efficiency, quality, scalability, and operational readiness
8. Support solution design, testing, training, SOP/job aid development, and change readiness activities for new process launches and enhancements
- Preferred Qualifications: list bullet points: "Bachelor's degree or equivalent professional experienceExperience standing up new processes, workflows, or operating models from the ground upExperience gathering, documenting, and refining business and system requirementsExperience working cross-functionally with business, product, and IT stakeholdersStrong written and verbal communication skills, including process documentation and executive-ready materialsStrong analytical and problem-solving skills, including identifying process gaps, risks, and dependencies"
Split:
1. Bachelor's degree or equivalent professional experience
2. Experience standing up new processes, workflows, or operating models from the ground up
3. Experience gathering, documenting, and refining business and system requirements
4. Experience working cross-functionally with business, product, and IT stakeholders
5. Strong written and verbal communication skills, including process documentation and executive-ready materials
6. Strong analytical and problem-solving skills, including identifying process gaps, risks, and dependencies
- Work at Home Requirements: "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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information."
- Travel: "While this is a remote position, occasional travel to Humana's offices for training or meetings may be required."
- Scheduled Weekly Hours: "40"
- Pay Range: "$78,400 - $107,800 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: paragraph about benefits.
- About Us: paragraph about Humana.
We need sections: About the role (maybe intro), Responsibilities (maybe job description), Requirements (maybe required qualifications), Qualifications (maybe preferred qualifications), Skills (maybe combine?), Benefits, Pay, Schedule.
We must not create sections with filler. So we need to decide which sections have substantive content.
We have:
- About the role: could be the introductory paragraph(s) describing role purpose, reporting, etc. That's substantive.
- Responsibilities: could be the job description bullet list (the long paragraph about responsibilities). That's substantive.
- Requirements: could be Required Qualifications list.
- Qualifications: could be Preferred Qualifications list.
- Skills: maybe we could combine some skill statements from required/preferred? But we already have Required and Preferred; maybe we can omit Skills if not distinct. The instruction: prefer a few substantive sections over many thin ones. So we could combine Required and Preferred into Qualifications? But they said use headings like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can include both Requirements and Qualifications if they have content. Skills maybe not needed if not distinct.
- Benefits: we have description.
- Pay: we have pay range and bonus.
- Schedule: we have scheduled weekly hours 40 and maybe travel? Travel could be part of Schedule? But schedule section is for hours; we have 40 hours per week. Travel is separate but could be omitted or placed under Schedule? Probably better to include Schedule with weekly hours and note travel? The instruction: include a section ONLY when posting has real, specific content for it. So we have schedule: "Scheduled Weekly Hours 40". That's specific. Travel is separate but could be omitted or maybe included under Schedule? Might be better to include Schedule with weekly hours and maybe mention occasional travel. But travel is not schedule per se; but we could include it under Schedule as note. However we should not invent content; we can include travel as a separate line under Schedule if we want. But we need to decide.
We also have Work at Home Requirements (internet speed, dedicated space). That could be under Schedule? Not really. Could be under Requirements? Might be considered as "Work at Home Requirements". There's no heading for that in the list; but we could incorporate into Requirements or maybe under a separate section like "Work Arrangements". But not in allowed headings. The allowed headings list includes About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to fit content into those.
Thus:
- About the role: intro + reporting + contingent note? The contingent note about employment being contingent could be part of About the role.
- Responsibilities: the detailed job description paragraph (the long one after "Job Description").
- Requirements: Required Qualifications list.
- Qualifications: Preferred Qualifications list.
- Skills: maybe we can omit if not distinct; but we could extract skill statements from Required/Preferred? However we already have those. Could combine Required and Preferred into Qualifications and omit Skills. But we need to follow instruction: prefer a few substantive sections over many thin ones. So maybe we combine Required and Preferred into a single "Qualifications" section, and omit Requirements and Skills. But the instruction says use headings like those; but we can omit sections if not needed. So we could have About the role, Responsibilities, Qualifications, Benefits, Pay, Schedule. That seems reasonable.
Let's see if we have enough content for each:
- About the role: include introductory paragraphs, reporting line, contingent note, remote position description.
- Responsibilities: include the job description paragraph (the long one after "Job Description").
- Qualifications: include both Required and Preferred qualifications (maybe split into two subheadings? But we can't add extra headings beyond allowed? We could still use - inside the section; we could separate with a
heading like "Required Qualifications:" but that's not an
. Might be okay to have a
bold? But we should not invent headings beyond allowed. We could just list all qualifications in one list; but that mixes required and preferred. Might be okay but loses distinction. Could we include two
paragraphs before the list: one saying "Required Qualifications:" and another "Preferred Qualifications:" as plain paragraphs, then list? That seems acceptable; not a heading.
- Benefits: include description.
- Pay: include pay range and bonus.
- Schedule: include weekly hours 40 and
heading like "Required Qualifications:" but that's not an
. Might be okay to have a
bold? But we should not invent headings beyond allowed. We could just list all qualifications in one list; but that mixes required and preferred. Might be okay but loses distinction. Could we include two
paragraphs before the list: one saying "Required Qualifications:" and another "Preferred Qualifications:" as plain paragraphs, then list? That seems acceptable; not a heading. - Benefits: include description. - Pay: include pay range and bonus. - Schedule: include weekly hours 40 and