Senior Process Improvement Professional

Join Our Caring Community

Become a part of our caring community and help us put health first. Join MRT as a Senior Process Improvement Professional drive impact and innovation in healthcare! Are you ready to elevate your career in a role that blends strategy, analysis, and real-world impact? As a Senior Process Improvement Professional on the Medicare Medicaid Resource Team, you'll be at the heart of our rapidly evolving Medicaid and Medicare operations, driving meaningful change in a fast-paced, collaborative environment. In this position, you'll have the unique opportunity to engage with senior executives and cross-functional teams, guiding critical improvements that directly affect the lives of our members. Your expertise will inform best-in-class processes and policies, ensuring Humana remains at the forefront of healthcare innovation. Come thrive in a collaborative environment where teammates support one another, celebrate successes together, and bring positivity and even laughter to their work, demonstrating that teamwork and a sense of camaraderie are key to getting the job done.

Key Responsibilities

• Natural Disaster and Cyber Event Claims Processing
• Code Mapping for Accurate Authorization Matching
• Feasibility Assessments for New Benefits
• Medicaid State Claims Processing Support

Use Your Skills to Make an Impact

Required Qualifications

Work-At-Home Requirements

Preferred Qualifications

Additional Information

Scheduled Weekly Hours 40

Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and 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. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https : / / www.humana.com / legal / accessibility-resources?source=Humana_Website.