
10,000+ employees
Founded 1961
đĽ Healthcare
đĄď¸ Insurance
âď¸ 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.
đĽ 0 minutes ago
đ Florida â Remote
đľ $65k - $88.6k / year
â° Full Time
đ˘ Junior
âď¸ Operations
đŤđ¨âđ No degree required
đŚ H1B Visa Sponsor
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10,000+ employees
Founded 1961
đĽ Healthcare
đĄď¸ Insurance
âď¸ 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.
⢠Identify and execute process improvement opportunities that enhance outcomes and support corporate and market program performance ⢠Develop, implement, and track corrective action plans with business stakeholders ⢠Research, analyze, and synthesize cross-functional inputs to define problems and validate root causes ⢠Drive assigned initiatives to completion ⢠Lead process mapping and procedure development using structured project management and continuous improvement methods ⢠Interpret and apply state contract and regulatory requirements ⢠Maintain and update policies and procedures to reflect contract amendments ⢠Document and communicate process and policy changes and support adoption by impacted teams ⢠Collect, validate, and analyze operational and compliance metrics ⢠Identify trends, gaps, risks, and improvement opportunities ⢠Deliver actionable insights for leadership ⢠Develop and deliver decision-support dashboards and visual analytics ⢠Facilitate meetings and collaborate with systems partners to improve internal documentation tools ⢠Report to the Regional Process Improvement Manager
⢠1+ years of experience in quality, performance, compliance, or process improvement ⢠Demonstrated experience supporting operational effectiveness and quality assurance initiatives ⢠Project management experience ⢠1+ years of experience with Microsoft Power Platform tools, including Power BI, Power Apps, Power Automate, or Tableau ⢠Ability to travel up to 25% annually for training and site visits ⢠Project Management Certification preferred ⢠Proficiency in understanding healthcare-related data and risk adjustment preferred ⢠Excel proficiency, including altering macros, creating and using pivot tables, formulas, VLOOKUPs, and charts ⢠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
⢠Bonus incentive plan based upon 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 opportunities
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