This role is responsible for end-to-end process governance, operational oversight, and execution alignment across assigned deliverables. This role ensures processes are clearly defined, documented, standardized, and consistently executed while maintaining visibility into milestones, dependencies, risks, and overall readiness.
Acting as a central process orchestrator, this role partners across cross-functional teams to drive alignment, execution flow, operational discipline, and process consistency. The Process Optimization Lead proactively identifies process gaps, inefficiencies, and operational risks, translating insights into actionable improvements using Lean Six Sigma methodologies.
This role operates at a process governance and oversight level, ensuring processes are scalable, efficient, and aligned to enterprise objectives while partnering with accountable teams responsible for downstream execution.
Process Governance & End-to-End Oversight
Provide end-to-end process governance and operational oversight across assigned deliverables, ensuring alignment from intake through execution and downstream readiness
Establish and maintain process governance frameworks, including ownership structures, escalation paths, decision rights, and RACI models
Ensure process standardization, consistency, and adherence across cross-functional teams while identifying and reducing unnecessary variation
Serve as the central point of visibility into process health, readiness, risks, dependencies, and execution status
Maintain operational oversight of process controls, governance checkpoints, and execution expectations across the process lifecycle
Process Design, Documentation & Standardization
Lead development and maintenance of process documentation, including SOPs, process maps, swim lanes, playbooks, and governance artifacts
Utilize Lean Six Sigma methodologies and tools (SIPOC, value stream mapping, root cause analysis, DMAIC) to design, refine, and optimize processes
Ensure processes remain audit-ready, compliant, and aligned with regulatory, operational, and business requirements
Drive adoption of standardized processes and operational best practices across teams
Cross-Functional Alignment & Execution Management
Partner with cross-functional teams to align on timelines, deliverables, dependencies, and execution sequencing
Facilitate structured working sessions to resolve ambiguities, clarify responsibilities, and support decision-making
Coordinate process handoffs and interdependencies to ensure seamless execution flow and operational readiness
Serve as a liaison across business, operational, and technical stakeholders to drive alignment and accountability
Project & Program Management
Manage integrated project plans, governance milestones, critical paths, and interdependencies across initiatives
Monitor progress against key milestones and proactively identify, escalate, and mitigate risks, issues, and blockers
Drive operational status reporting, executive updates, and stakeholder communications with clarity and precision
Establish governance cadences, tracking mechanisms, and reporting structures to maintain visibility into program health and readiness
Continuous Improvement & Operational Excellence
Identify process gaps, inefficiencies, bottlenecks, and operational risks through data analysis and stakeholder feedback
Lead root cause analysis (RCA) and corrective/preventive action planning (CAPA)
Translate findings into actionable process improvement opportunities using Lean Six Sigma and continuous improvement methodologies
Partner with execution teams to transition, operationalize, and sustain approved process improvements
Risk Management & Readiness
Proactively assess and manage operational risks, process vulnerabilities, and downstream impacts
Define and monitor readiness checkpoints across all phases of the process lifecycle
Maintain visibility into capacity constraints, operational impacts, and delivery risks
Support contingency planning and readiness mitigation strategies
Performance Monitoring & Reporting
Define, monitor, and report on KPIs, SLAs, process metrics, and operational performance indicators
Develop dashboards and reporting tools to provide visibility into process performance and readiness
Conduct trend analysis to identify optimization opportunities and emerging risks
Present insights, recommendations, and operational updates to leadership in a concise and actionable manner
Change Management & Adoption
Support change management and process adoption strategies for new or updated processes
Develop communications, training materials, and supporting documentation to reinforce process compliance and operational consistency
Promote a culture of continuous improvement, accountability, and operational discipline
Required Qualifications
Bachelor’s Degree in Business, Operations Management, Healthcare Administration, or related field
4+ years of experience in process management, operations, program management, or project management
Demonstrated experience with end-to-end process governance and cross-functional coordination
Strong knowledge of project management methodologies (Waterfall, Agile, or hybrid models)
Experience leading process improvement initiatives using Lean or Six Sigma methodologies
Proven ability to manage complex workflows, dependencies, competing priorities, and operational risks
Advanced experience with process mapping, workflow design, and process documentation tools
Strong analytical, problem-solving, and root cause analysis capabilities
Excellent communication and stakeholder management skills with the ability to influence without direct authority
Preferred Qualifications
Master’s Degree in Business Administration (MBA), Operations Management, Project or Program Management, Industrial Engineering, Systems Engineering, Healthcare Administration, or related discipline
Prior experience strategizing on how processes should be restructured
Lean Six Sigma Green Belt or Black Belt certification
PMP, PgMP, or equivalent project management certification
Experience within highly regulated environments (healthcare, insurance, CMS, or compliance-driven operations)
Experience supporting large-scale cross-functional programs, operational readiness initiatives, or enterprise implementations
Familiarity with process governance models, operational frameworks, and implementation lifecycle management
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay 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.$94,900 - $130,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 06-16-2026
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.
Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact yourcareer@humana.com to validate the request
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
