Program Delivery Lead

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $115.2k - $158.4k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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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

• Strategically identify, develop, and implement programs influencing providers • Own execution and operational performance outcomes for Provider Programs • Implement, monitor, and continually improve program operations • Partner with leaders on implementation planning • Review and communicate program results • Advise executives on functional strategies and significant matters • Research and resolve issues for In-Office Provider Vended Programs • Manage operational routines including file generation, distribution, reconciliation, and quality control • Consult on programs and support program implementations • Lead change management and operational readiness • Manage program budgets and monitor performance and controls • Lead and oversee cross-functional, end-to-end business process improvement initiatives • Collect and analyze data to recommend practices and procedures improving customer experience, compliance, and efficiency • Support and drive organizational initiatives, retrospective lessons learned, and cross-functional collaboration • Standardize and maintain accurate process and procedure documentation across programs • Develop, review, and approve program education and materials

🎯 Requirements

• 8+ years of experience in program delivery, operations, business process improvement, or related operational roles • 2+ years of experience analyzing operational data and using findings to recommend process, compliance, customer experience, or efficiency improvements • 2+ years of experience documenting, standardizing, or improving business processes across cross-functional teams or programs • Experience using Microsoft Office tools, including Excel, PowerPoint, Outlook, and Teams • Experience supporting program administration, operational reporting, financial tracking, claims management, or departmental expense processes • Experience applying Lean, Six Sigma, or other process improvement methodologies • Experience in vended operations and/or vendor management • Experience supporting financial management activities, including budgeting, expense tracking, claims management, reporting, or program administration • Experience in operational program management, business operations, or process execution within a matrixed or cross-functional environment • Knowledge of health care, managed care, provider programs, risk adjustment, or clinical documentation workflows • Strong analytical skills, including interpreting data, identifying trends, and translating insights into actionable business recommendations • Home internet service with at least 25 Mbps download and 10 Mbps upload speed • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ 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 • Personal wellness and smart healthcare decision support • Occasional travel to Humana offices for training or meetings