Network Operations Lead

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $94.9k - $130.5k / year

⏰ Full Time

🟠 Senior

🌐 Network Operations

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Improve operational consistency, scalability, and readiness across Network Operations • Evaluate complex operational and provider-related issues and identify root causes and process gaps • Partner with leadership and cross-functional teams to drive standardization, governance, and execution • Lead standardization of Network Operations workflows, documentation, operating expectations, and processes across markets or regions • Develop executive-ready presentations, status updates, decision documents, process maps, and communication materials • Assess current-state processes, document dependencies, and prepare teams for system, technology, and operating model changes • Establish or improve standard operating procedures, governance routines, intake processes, escalation pathways, and performance tracking • Manage strategic workplans, track deliverables, identify risks, and escalate issues with recommended actions • Facilitate meetings and working sessions to align stakeholders, clarify ownership, document decisions, and drive follow-through

🎯 Requirements

• Minimum of 5 years of experience in operations, consulting, process improvement, or business transformation • Minimum of 5 years of strategic operations experience translating organizational priorities into structured workplans • Minimum of 3 years of executive communication experience • Minimum of 3 years of process improvement experience • Minimum of 2 years of cross-functional leadership experience • Minimum of 2 years of analytical problem-solving experience • Experience in Health Care operations preferred • Proficiency in Microsoft Suite preferred • Minimum internet speed of 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions • Ability to protect member PHI/HIPAA information • Ability to occasionally travel to Humana offices for training or meetings

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Wellness and smart healthcare decision support • Occasional travel to Humana offices for training or meetings