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SOAR Kentucky

Process Improvement Lead



Oklahoma, USA · Remote
Posted on Saturday, November 18, 2023


The Process Improvement Lead identifies best practices within and outside the organization to establish benchmark data for Care Management and Utilization Management procedures.


Position Responsibilities:

  • 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 and may specialize in one or more of the following areas: benchmarking, clinical best practices, change management and measurement, and/or process-driven systems requirements.
  • Advises leadership to develop functional strategies on matters of significance, exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision.
  • Use independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications:

  • Active Registered Nurse (RN) license, bachelor’s degree Nursing (BSN)
  • Three (3) years of experience in quality management and/or process improvement.
  • Three (3) years of experience working with business partners to drive transformation.
  • Five (5) or more years of leadership experience guiding teams through change management as a team leader, project leadership, Subject Matter Expert, SME, etc.
  • Intermediate to Advanced proficiency in various MS programs specifically, Excel, Word, PowerPoint & Visio.
  • Experience in Oklahoma Medicaid care management processes.
  • Experience in data collection, data analysis and trending.
  • Ability to build and maintain effective working relationships.
  • Excellent skills in training and presentations.
  • Excellent organizational skills and able to manage multiple priorities; comfortable working in a highly visible, fast-paced environment.

Preferred Qualifications:

  • Previous experience working in a managed care field.
  • Certification, Case Management
  • MSN degree

Additional Information

This position is open to working remote in Oklahoma

Our Benefits

Health benefits effective day 1. Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

  • Paid time off, holidays, volunteer time and jury duty pay, Recognition pay.
  • 401(k) retirement savings plan with employer match.
  • Tuition assistance, Scholarships for eligible dependents.
  • Parental and caregiver leave.
  • Employee charity matching program.
  • Network Resource Groups (NRGs).
  • Career development opportunities.

Work at Home Criteria

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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.
  • Employees 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 employees 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 for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Scheduled Weekly Hours