Senior Process Improvement Professional, Care and Service Coordination Strategy & Growth jobs in United States
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Humana · 18 hours ago

Senior Process Improvement Professional, Care and Service Coordination Strategy & Growth

positionUnited States
timeFull-time
remoteRemote
seniorityMid, Senior Level
money$78K/yr - $108K/yr
date4+ years exp

Humana Inc. is committed to putting health first and is seeking a Senior Process Improvement Professional to play a pivotal role in designing and executing Medicaid care/service coordination strategies. This role involves collaborating with various teams to translate business goals into operational blueprints, supporting strategic planning, and enhancing member and provider experiences.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

Responsibilities

Support the development and maintenance of strategy documents such as operational model blueprints, lists of essential deliverables, and key business partners

Qualification

Care ManagementMedicaid contracts reviewMedicare contracts reviewLTSS experienceProject managementCross-functional collaborationLicensed clinicianOrganizedPassionate about consumer experienceDetail-oriented

Required

Bachelor's degree or 3 years of experience working in health plan operations
2+ years of experience in Care Management, including work with dually eligible Medicare–Medicaid members
2+ years of experience reviewing state Medicaid and federal Medicare contracts (SMAC, SOW, 1915(b), 1915(c)), or state/federal rules and regulations to identify care management requirements
Demonstrated passion for contributing to an organization focused on continuously improving consumer experiences

Preferred

Licensed clinician (e.g., LSW, RN, etc.)
Project management experience
Experience with Medicare/Medicaid integrated models
Experience working in cross‑functional settings
Deep understanding of the Care Management Processes and how actions drive value for members and providers
LTSS experience

Benefits

Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance

Company

Humana

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Humana is a health insurance provider for individuals, families, and businesses.
dateFounded in 1964
location
Louisville, Kentucky, USA
people-size10001+ employees
web-link
http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Recent News

thefly.com
Humana partners with Atlas Oncology Partners
2026-01-14
Morningstar.com
Health Care Down on Health-Insurance Concerns — Health Care Roundup
2026-01-13
Benzinga.com
House Passes Bill Extending Health Care Subsidies Despite GOP Leadership Opposition
2026-01-09
Company data provided by crunchbase