Job Information

Humana Process Improvement Representative 2 - Remote - Medicaid in Tampa, Florida


The Process Improvement Representative 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.


The Process Improvement Representative 2 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. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

  • Minimum of an Associate's Degree

  • 2 years of technical experience

  • Experience with Excel (pivot tables, graphs, charts)

  • Tableau or QlikView or PowerBI or SQL experience

  • Health Plan Experience (preferably in Medicaid line of business)

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

  • Experience with job aid development, user training guides, Visio process flow development

  • Must ensure designated work area is free from distractions during work hours and virtual meetings

  • Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Preferred Qualifications

  • Experience with prior authorization is a plus

  • Experience with Root Cause Analysis with large data sets

Additional Information

Scheduled Weekly Hours