[Hiring] Senior Process Improvement Professional @CenterWell

Role Description

The Senior Process Improvement Professional serves as the end-to-end process owner and subject matter expert for interoperability and medical documentation chase operations. This role will:

• Assess business needs, design new workflows, define operating models, and develop process standards, controls, and performance measures.
• Partner closely with business stakeholders, product teams, and IT to document requirements for system functionality.
• Identify dependencies and ensure technology solutions align to operational needs.
• Map current and future-state processes, identify gaps, risks, and opportunities, and recommend sustainable solutions that improve accuracy, efficiency, and stakeholder experience.
• Establish business rules, intake requirements, routing logic, exception handling, reporting needs, and governance processes for new work.
• Support change management, implementation planning, testing, and operational readiness activities to ensure successful launch and adoption.
• Develop deep expertise across the full end-to-end process, including upstream inputs, downstream impacts, stakeholder roles, system touchpoints, and compliance considerations.
• Make decisions on moderately complex to complex issues regarding process design, requirements, and implementation approach.

Qualifications

• Lead the design and stand-up of new processes supporting interoperability and medical documentation chase operations.
• Build and maintain end-to-end workflows, including intake, triage, routing, exception handling, escalation paths, and reporting requirements.
• Serve as the subject matter expert for the full operational process and associated system interactions.
• Partner with business, product, and IT stakeholders to gather, document, and refine business and system requirements.
• Translate operational needs into functional requirements, business rules, user stories, process maps, and supporting documentation.
• Facilitate cross-functional working sessions to define current-state, future-state, and target-state processes.
• Recommend and implement sustainable process improvements that improve efficiency, quality, scalability, and operational readiness.
• Support solution design, testing, training, SOP/job aid development, and change readiness activities for new process launches and enhancements.

Requirements

• Bachelor's degree or equivalent professional experience.
• Experience standing up new processes, workflows, or operating models from the ground up.
• Experience gathering, documenting, and refining business and system requirements.
• Experience working cross-functionally with business, product, and IT stakeholders.
• Strong written and verbal communication skills, including process documentation and executive-ready materials.
• Strong analytical and problem-solving skills, including identifying process gaps, risks, and dependencies.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance.
• Many other opportunities supporting whole-person well-being.

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.