Network Operations Lead

🕒 August 4

🇺🇸 United States – Remote

💵 $94.9k - $130.5k / year

⏰ Full Time

🟠 Senior

🌐 Network Operations

🦅 H1B Visa Sponsor

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👻 Ghost score 24%

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Logo of Humana

Humana

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 • Identify root causes and process gaps • Partner with leadership and cross-functional teams to drive standardization, governance, and execution • Lead initiatives to standardize workflows, documentation, operating expectations, and processes across markets or regions • Develop executive-ready presentations, status updates, decision documents, process maps, and communication materials • Support planning for future system, technology, and operating model changes • Assess current-state processes, document dependencies, and prepare teams for transition • 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, including 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 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 • Occasional travel to Humana offices for training or meetings may be required

🏖️ Benefits

• Bonus incentive plan based on 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 • Personal wellness and smart healthcare decision support • Remote work arrangement • Dedicated home workspace and internet requirements to support remote work

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