Humana Inc. Process Improvement Representative – Medicaid Job in Tampa, FL

Clipped from: https://www.glassdoor.com/job-listing/process-improvement-representative-medicaid-humana-JV_IC1154429_KO0,43_KE44,50.htm?jl=1008485047222&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

The Process Improvement Representative 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The Process Improvement Representative 2:

  • 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
  • Decisions are typically focus on interpretation of area/department policy and methods for completing assignments
  • Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction
  • Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

  • Minimum of an Associate’s Degree
  • 2 years of technical experience
  • Experience with Excel (pivot tables, graphs, charts)
  • Tableau or QlikView or PowerBI or SQL experience
  • Health Plan Experience (preferably in Medicaid line of business)
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Experience with job aid development, user training guides, Visio process flow development
  • Must ensure designated work area is free from distractions during work hours and virtual meetings
  • Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Preferred Qualifications

  • Experience with Root Cause Analysis with large data sets

Additional Information

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates – ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
  • Satellite, cellular and microwave connection can be used only if approved by leadership
  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, 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 or computer 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