Job Details

Clinical Process Improvement Lead- WAH Nationwide

Company name
Humana Inc.

Location
Cincinnati, OH, United States

Employment Type
Full-Time

Industry
Healthcare, Nursing, Operations

Posted on
Feb 03, 2022

Apply for this job






Profile

Description

The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This roll will lead a team of process improvement professionals supporting Clinical Operations as it's primary customer.

Responsibilities

The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Key Responsibilities:

Provide leadership and mentorship to other process improvement practitioners and business associates within the E&O team and across HCO to develop a Continuous Improvement culture throughout the organization

Be a champion of the process by implementing solutions that deliver improved effectiveness, efficiency and experience outcomes (member, provider and associate)

Builds collaborative business partnerships which bring clarity to the organization and facilitates effective change

Execute process initiatives within the framework of a robust process management control system highlighting KPIs that provide team observations, insights and recommendations on actions to be taken

Further simplify and improve processes that are informed by the ideal member, provider and associate experience, and are enabled through both technology and non-technology solutions

Contribute to the identification of projects that meet strategic objectives.

Interface with various business partners to provide oversight of projects and ensure key milestones and deliverables are implemented in a timely manner

Lead large scale initiatives, with ability to effectively manage competing priorities

Facilitates meetings with leadership to review project progress and ensure the project portfolio is delivering the desired business outcomes

Required Qualifications

Bachelor's degree in nursing, business, engineering or other related field

8 or more years of consulting and/or process improvement experience

2 or more years of project leadership experience

Strong business acumen balanced with analytical skills in order to see the big picture and draw out insights and observations

Demonstrated experience using process improvement methodologies and tools

High emotional intelligence

Excellent interpersonal, organizational, communication and presentation skills

Problem solver with a proven ability to lead in a fast paced, highly complex organization

Demonstrated ability to effectively interact with and influence all levels of the organization, including senior/executive level leadership

Effectively leads through change

High level of proficiency with Microsoft applications (Word, Excel, Visio, PowerPoint)

Proactive and high level of accountability / ownership

Preferred Qualifications

Master's degree / MBA

Clinical process improvement experience

Lean / Six Sigma Green and/or Black Belt certification (highly desired)

CGX experience

People leadership experience

Additional Information

Humana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

Similar Jobs:
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursem...
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, document...
Senior Pre-Authorization Nurse
Location : Cincinnati, OH
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Ma...
I was very pleased with the NursingCrossing. I found a great position within a short amount of time … I definitely recommend this to anyone looking for a better opportunity.
Jose M - Santa Cruz, CA
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
NursingCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
NursingCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 NursingCrossing - All rights reserved. 21 192