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Humana Medicaid Senior Process Improvement Professional in Overland Park, Kansas


The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.


The Senior Process Improvement Professional 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. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

  • Microsoft Office, Excel, Word & PowerPoint

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

  • Solid communication skills, both written and oral

  • Strong attention to detail

  • Self-motivated & driven

  • Ability to understand complex issues and drive solutions

  • Experience developing new processes or managing implementations

  • Ability to work in a fast paced environment

  • Experience with creating policies & procedures

  • Experience facilitating & leading trainings

  • Ability to manage multiple priorities

Preferred Qualifications

  • Bachelor's degree

  • 1 -3 years of Medicaid experience

  • Understanding of CMS & State Regulations and Guidance

  • Experience with Medicaid Capitation Reconciliation

Scheduled Weekly Hours