Job Details

Director Medicaid Process Improvement

Location
Pittsburgh, PA, United States

Posted on
Mar 19, 2021

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Profile

Description

The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

Responsibilities

The Director, Process Improvement researches best business practices within and outside the organization to establish benchmark data. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced engagement, experience, increased productivity and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functional roadmap development and work streams across the organization, utilizing Humana Values: Rethink Routine, Thrive Together and Pioneer Simplicity.

Required Qualifications


BA/BS Degree
8 or more years of technical experience with Medicaid Operations process improvement
5 or more years of management experience
Healthplan Operations
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


Master's degree in healthcare, business, or related field
Experience working with 1 or more formal process improvement methodologies
Call Center or Claims Operations experience


Additional Information

Scheduled Weekly Hours

40

Company info

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