Job Overview
Location
Work at Home - Ohio
Job Type
Full-time
Category
Operations
Date Posted
May 11, 2026
Full Job Description
đź“‹ Description
- • The Associate Director, Process Improvement leads strategic initiatives that enhance clinical and operational workflows across care management and utilization management programs, serving as a key liaison between Clinical Health Services, IT, and Operations to design, improve, and resolve technical and process-related solutions that support quality, compliance, and member outcomes.
- • Day to day, the role involves establishing and leading the strategic roadmap and priorities for process improvement initiatives, guiding and directing teams in prioritizing initiatives and executing complex cross-functional work, leading the identification and resolution of complex clinical, operational, and technical challenges, overseeing and developing a team of professionals, and driving end-to-end process mapping, redesign, and standardization for care management and utilization management workflows.
- • The role is part of Humana Inc., a leading U.S. healthcare company dedicated to improving health outcomes for millions through its insurance services and CenterWell healthcare services, with a focus on serving people with Medicare and Medicaid, families, individuals, military service personnel, and communities.
- • In this role, the individual can develop strategic leadership skills in healthcare operations, gain deep expertise in care management and utilization management processes, lead cross-functional teams to drive organizational change, and make a measurable impact on member outcomes through process optimization and technology enablement.
🎯 Requirements
- • Bachelor’s degree required
- • 3+ years of experience in process improvement, operations, or technical program support (healthcare environment preferred)
- • 3+ years of leadership experience, including direct team oversight
- • Experience supporting or partnering with care management, utilization management, or clinical operations teams
- • Demonstrated ability to set strategic direction, prioritize initiatives, and lead teams through execution of complex programs
- • Proven ability to lead and influence cross-functional teams and stakeholders
- • Strong analytical skills with the ability to interpret data and translate insights into actionable improvements
- • Experience developing and operationalizing strategy
- • Strong communication skills with ability to translate between clinical, technical, and business audiences
- • Ability to manage multiple priorities in a fast-paced, matrixed environment
- • Medicaid and/or managed care experience
- • Must reside in Ohio, Kentucky or in bordering state within driving distance of Humana Waterside (Louisville, KY)
🏖️ Benefits
- • Competitive medical, dental and vision benefits
- • 401(k) retirement savings plan
- • Paid time off (including company and personal holidays, volunteer time off, paid parental and caregiver leave)
- • Short-term and long-term disability
- • Life insurance
- • Bonus incentive plan based on company and/or individual performance
Skills & Technologies
About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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