Business Process Professional, Pharmacy Hub

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $59.3k - $80.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Business Operations

👻 Ghost score 0%

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CenterWell Senior Primary Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

📋 Description

• Design, document, implement, and continuously improve workflows, change practices, and knowledge infrastructure for launching and scaling Pharmacy Hub Operations • Translate program designs, system capabilities, clinical and operational requirements, and client commitments into end-to-end processes, SOPs, job aids, knowledge content, and change plans • Collaborate across Access Operations, Service Operations, Clinical Operations, pharmacy fulfillment, Implementation, Product, Technology, Quality, Compliance, Training, Workforce Management, Analytics, and external partners during launch • Ensure processes are operationally sound, understood by impacted teams, consistently reflected across documentation and systems, and ready for adoption before go-live • Support workflow governance, change intake, knowledge management, and continuous improvement after launch • Support new programs, clients, therapies, channels, and capabilities as the hub scales

🎯 Requirements

• Bachelor’s degree or equivalent experience in business process management, healthcare operations, pharmacy operations, change management, knowledge management, implementation, quality, or a related field • 3+ years of experience designing, documenting, implementing, or improving cross-functional business processes in a complex operating environment • Experience creating process maps, SOPs, work instructions, decision trees, job aids, knowledge articles, or other operational documentation • Experience supporting organizational change, system implementation, operational readiness, or adoption of new workflows and policies • Strong facilitation, writing, requirements translation, stakeholder management, problem-solving, and project coordination skills • Ability to organize complex information, manage multiple concurrent changes, and maintain disciplined version control and documentation governance • Experience using operational data, quality findings, employee feedback, or root-cause analysis to drive measurable process improvements • Preferred: experience in manufacturer hub services, specialty pharmacy, patient access, reimbursement support, clinical services, pharmacy fulfillment, PBM, or healthcare contact center operations • Preferred: working knowledge of benefits verification, prior authorization, appeals, financial assistance, patient and provider service, clinical outreach, adherence, or specialty pharmacy workflows • Preferred: experience with Microsoft Visio, Microsoft Power Automate, Microsoft SharePoint, Microsoft Teams, or Microsoft 365 knowledge solutions • Preferred: experience with CRM, case-management, knowledge-management, workflow-automation, quality-management, or learning-management platforms • Preferred: Lean Six Sigma, Change Management, Certified Business Process Professional, project management, or knowledge-management training or certification • Preferred: experience supporting regulated healthcare documentation, privacy, audit readiness, controlled documents, clinical protocols, or quality-management systems • Preferred: experience in a greenfield, start-up, new-client implementation, or rapidly scaling operating environment • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Internet expense payment for employees who live and work from Home in California, Illinois, Montana, or South Dakota • Telephone equipment provided for Home or Hybrid Home/Office employees • Remote work arrangement • Occasional travel to Humana offices for training or meetings may be required