Become a part of our caring community 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 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. Use your skills to make an impact Required Qualifications The Sr. Process Improvement Professional must meet one, (1) of the following requirements: Licensed Professional (LSW) in the state of Kentucky OR ability to obtain, Master’s degree from an accredited university or college in social work, psychology or related health and human services area with a minimum of one, (1) year professional experience in case management.
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Role overview
Job description
Become a part of our caring community
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 Humana Pharmacy Benefits Management (PBM) Strategy Enablement team partners with PBM teams to improve processes that will help our members improve their lives through better health outcomes. This role, within the Process Improvement (PI) team of Strategy Enablement, will work closely with PBM leaders, as well as key partners in leading and delivering on initiatives and process capabilities that enable improved effectiveness, efficiency, and experiences (member, provider and associate).
The Senior Process Improvement Professional:
- Researches best business practices within and outside the organization to establish benchmark data.
- Defines and leads business improvement projects aligned with business strategies and operational priorities.
- Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on member experience, increased productivity and efficiency 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.
As Senior Process Improvement Professional for continuous improvement within Humana Pharmacy, you will: design, implement, and improve business processes across designated areas of responsibility to help enhance business outcomes, directly impacting cost, quality and member experience.
Use your skills to make an impact
Key Responsibilities
- Own and deliver a portfolio of process improvement projects that collectively achieve quantifiable annual cost savings targets.
- Analyze and measure the effectiveness of existing business processes, taking into consideration industry benchmarks and overarching business strategy, to determine areas of focus for process improvements.
- Partner with operations leadership to define and quantify initiatives to improve cost per, quality, and outcomes measures, driving cost reduction balanced with quality improvements.
- Influence leadership and cross-functional partners without formal authority through data-driven insights and compelling storytelling.
- Develop projects through the DMAIC, PDCA, Kaizen, or other standard process improvement methodologies (whichever best benefits the business), while identifying potential project risks.
- Deliver quantifiable results, making technical decisions and escalating issues, with minimal supervision.
- Monitor project performance metrics to ensure that organization objectives in the areas of cost, efficiency, and quality are met.
- Accurately validate and report financial impact (hard savings, soft savings, etc.) of all initiatives.
- Indirectly lead cross-functional teams to ensure project objectives are obtained and sustained.
Required Qualifications
- Lean Six Sigma Black Belt certification.
- Bachelor's degree in Industrial Engineering, Business Administration, Healthcare Management, or a related quantitative field.
- 5+ years of experience in process engineering, continuous improvement, or operations management.
- Demonstrated success in the planning and implementation of across-the-board process improvement initiatives, including both tactical and strategic-level projects.
- Proven Change Agent, with demonstrated abilities and successes in influencing and motivating at multiple of an organization.
- Proven ability to think analytically, apply analytical techniques, and provide in-depth analysis of technical process, business process, or raw data and recommendations to management using critical thinking and sound judgment.
- Expertise in Project Management, Program Management, Problem Solving, and Issues Mitigation.
- Proficiency in developing and interpreting financial measures associated with process improvement, cost modeling, and forecasting.
- Ability to integrate into and thrive as a member of a virtual team.
Preferred Qualifications
- Master Black Belt certification.
- Direct experience within Pharmacy Benefit Management (PBM).
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay 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.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 10-08-2026
About us
About Humana: 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. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
What they are looking for
Skills & requirements
Qualification
Lean Six Sigma Black Belt certification; Bachelor's degree in Industrial Engineering, Business Administration, Healthcare Management, or a related quantitative field; 5+ years of experience in process engineering, continuous improvement, or operations management
Hiring company
Humana
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