Process Optimization Lead

About this role

Become a part of our caring community   About Humana Humana is a Fortune 60, publicly traded health benefits company with a long-standing reputation for innovation and transformation. As one of the nation’s largest health benefits organizations, Humana is committed to delivering consumer-focused health solutions that drive positive outcomes for members and communities.

Process Improvement & Operational Excellence • Lead the evaluation, design, standardization, and optimization of processes to improve efficiency, effectiveness, scalability, and stakeholder experience.

• Identify and implement process improvement opportunities using data analysis, operational insights, root cause analysis, and continuous improvement methodologies.

• Drive adoption of best practices, lessons learned, and process standards to support operational consistency and measurable business outcomes.

• Develop and maintain process documentation, including process maps, workflows, job aids, governance artifacts, and implementation materials.

Program Execution & Operational Readiness • Lead the planning, execution, and coordination of operational initiatives and strategic workstreams, ensuring alignment with organizational objectives.

• Develop and maintain integrated project plans, timelines, milestones, deliverables, dependencies, and implementation activities.

• Monitor progress, identify and mitigate risks, barriers, and resource constraints, and drive resolution of issues impacting successful execution.

• Lead operational readiness activities to ensure teams, processes, and stakeholders are prepared for successful implementation and adoption.

Governance, Reporting & Risk Management • Facilitate governance processes that support effective decision-making, accountability, risk management, and operational oversight.

• Coordinate governance meetings, track decisions, action items, risks, dependencies, and stakeholder commitments, and ensure timely follow-through.

• Prepare executive-ready reporting, dashboards, status updates, and presentations that communicate progress, risks, outcomes, and recommendations.

• Escalate critical issues, unresolved decisions, and execution risks to appropriate stakeholders and leadership teams.

Stakeholder Engagement & Cross-Functional Leadership • Partner with business leaders and cross-functional teams to drive alignment, foster accountability, and support successful delivery of operational initiatives.

• Serve as a trusted advisor and process improvement resource, influencing stakeholders across functions and organizational levels.

• Lead stakeholder communications, implementation updates, and change readiness efforts to support adoption of new processes and ways of working.

• Build collaborative relationships that promote operational excellence, continuous improvement, and sustain organizational performance.

Use your skills to make an impact   Required Qualifications • Bachelor’s Degree in Business Administration, Healthcare Administration, Operations Management, Project Management, Public Health, or related field

• 4+ years of experience coordinating enterprise-level operational processes, projects, governance activities, or cross-functional workstreams

• Experience applying project management, Lean, Six Sigma, Agile, or other structured process improvement methodologies in an enterprise or cross-functional environment

• Strong organizational skills with the ability to manage multiple workstreams, deadlines, stakeholder groups, and competing priorities

• Demonstrated ability to maintain project plans, timelines, process documentation, decision logs, action logs, and governance materials

• Strong written and verbal communication skills, with the ability to coordinate effectively across cross-functional teams

• Ability to work cross-functionally and influence accountability without direct authority

• Ability to identify risks, track issues, support resolution, and escalate concerns appropriately

• Detail-oriented with a focus on process consistency, documentation quality, operational readiness, and execution accuracy

• Collaborative, flexible, and team-oriented working style

Preferred Qualifications • Project coordination or project management experience

• Lean Six Sigma Green Belt or Black Belt, Agile, project management, process improvement, or healthcare-related certification

• Familiarity with operational governance, process improvement, enterprise execution routines, workflow documentation, and continuous improvement practices

• Experience in supporting payor operations with a focus on operational efficiency and process optimization

• Experience supporting healthcare, Medicare Advantage, compliance-driven, regulatory, or highly regulated operational programs

• Experience preparing leadership-level updates, status reports, executive-ready materials, meeting materials, and governance documentation

• Experience supporting governance forums, executive reporting, operational readiness, implementation planning, or issue escalation

• Background supporting payor operations, enterprise operations, product operations, compliance-driven processes, or annual product lifecycle activities

• Comfort working in a matrixed environment with multiple business partners and competing priorities

Additional Information • Flexibility with work location; options may include: • Humana’s New York office in Midtown Manhattan

• Humana’s Washington, DC office

• Humana’s headquarters in Louisville, Kentucky

• Remote, with majority of work conducted on Eastern time

Work at Home Requirements: 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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed requir

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