Process Improvement Professional 2 – Humana Long-Term Care (Work at Home – Florida) – Work at Home

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Description

The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities

The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Process Improvement Professional 2 researches best business practices within and outside the organization to establish benchmark data.

  • Recognizing and identifying opportunities for improved outcomes and contribute to development of corporate and market programs.
  • Assist with developing actions to satisfy IOPs.
  • Contribute to the development of Vision Scope and Requirements (VSR) for Market.
  • Review AHCA LRRs , consults with Business Owner , develop action items and facilitate with implementation.
  • Research and consults with various business areas to gain knowledge in order to compile reports for projects.
  • Compile Market data and resources ITNs.
  • Plan, organize, implement and monitor special projects assigned by Director or Performance Improvement Manager.
  • Review Contract Amendment language for updated, additional, or discontinued plan requirements.
  • Create or update market Policies and Procedures to align with contract amendments.
  • Facilitate discussion/meeting/workshop with stakeholders to develop or update process flows, procedure documents, others.
  • Submit final draft of Policies and Procedures to Contracting Management, Compliance, and Legal.
  • Publish final Policies and Procedures to Mentor and SharePoint sites.
  • Facilitate training of new processes to market.
  • Communicate analysis to all market stakeholders.
  • Present analysis to Quality Improvement Committee quarterly.
  • Requires 25% travel, the rest will be work from home.

Required Qualifications

  • Bachelors Degree.
  • Minimum of 5 years of relevant experiences.
  • Intermediate to advance skills in PowerPoint, Excel, ACCESS, Microsoft Outlook and Visio.
  • Project management and process improvement expertise
  • Strong collaboration and communication skills.
  • Excellent analytical skill and presentation skills.
  • Strong organizational skills.
  • Must have accessibility to high speed DSL or Cable modem for a home office (No Satellite).
  • AHCA Fingerprint Required.

Preferred Qualifications

  • Previous leadership experience.
  • SharePoint, CGX, PAAG, PMDM, CCP2, CDM, CDM and Enterprise experiences.
  • Lean Six Sigma certification.
  • SQL experience.
  • Clinical experiences.
  • Previous Medicare/Medicaid experiences.
  • Prior nursing home diversion or long term care case management experience.

Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

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