Director, Process Improvement

Humana

Director of Process Improvement at Humana, focusing on operational efficiencies and quality enhancements. Leading strategy, managing data, and improving processes remotely or hybrid.

Posted 5/26/2026full-timeCalifornia, Illinois, Montana, South Dakota • 🇺🇸 United StatesLead💰 $150,000 - $206,300 per yearWebsite

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

report to an Associate VP of Strategy Advancement
drive ecosystem strategy, identifying architecture simplifications, provider data quality improvements, operational and quality automations
deliver end to end efficiency, quality and modernization through automations, operational processes and product technology strategies
manage provider data business intelligence
partner across Humana Military products, IT, automation teams and business partners on data stewardship and data models
initiate strategies to leverage new technologies to improve provider data quality
manage UAT processes and automations
ensure quality programs monitor adherence to TRICARE policies
monitor provider data incident, escalation and resolution processes

Requirements

What you’ll need

U.S. Citizenship
Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
7 years in leadership experience over a large operations area
7 years direct experience in health plan operations: contract management, claims processing or provider data management
7 years experience in data analysis and/or metrics reporting or auditing for quality
Bachelor's degree
Experience and proficiency with TRICARE operations policy
Proficiency in SQL data queries and reporting

Benefits

Comp & perks

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
many other opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

SQLdata analysismetrics reportingauditingdata managementcontract managementclaims processingautomationbusiness intelligenceUAT processes

Soft Skills

leadershipcollaborationstrategic thinkingproblem solvingcommunicationdata stewardshipquality assuranceoperational efficiencyincident managementescalation management

Certifications

Bachelor's degreegovernment security clearance (NBIS)