Strategy Advancement Advisor- Process Improvement

Profile

Description

This Strategy Advancement Advisor/Lead will identify, develop, and execute improvements for Senior Products Actuarial (SPA) processes. A primary annual goal for this role will be successful execution of the annual Data Inputs process for the Individual MAPD/PDP bid process, from design and implementation of improvements through leading execution and reporting of the annual process. The Strategy Advancement Advisor will develop a thorough understanding of the process landscape for individual MAPD and PDP pricing and supporting processes, collaborate across SPA and with SPA's business partners, provide insightful guidance to business partners and champion change. Other operational processes may be owned by this role while developing methods to reduce or eliminate manual efforts through process improvement.

The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial. The role requires experience in process improvement, a working familiarity of project management, and demonstrated capability in change management.

Responsibilities

Strategy Advancement Advisor/Lead will be responsible for:

Lead the execution of the existing data input process for the balance of the 2022 Bid Season (2021 Calendar Year) with the assistance of an existing project team.

Fully own individual MAPD/PDP Data Input process operations for the next bid season, including design and implementation of process improvements for the next bid season, including:

Improved first pass rate (data arrives on time, in compliance with all requirements)

Reduced effort to manage the bid season operations through process improvement and automation where possible

Reduced rework for actuarial teams

Managing change, including championing new ways of working & adoption of new systems, training of both SPA and internal and external partners, simplified reporting and issues management.

Pay it forward: implement the best parts of data inputs process to address other business needs across SPA

Develop end-to-end process understanding and implement best practices that add business value.

Risk management through root cause analysis

Process Metrics (create, manage, improve)

Quality checkpoints and metrics (Ensure high quality pricing)

Contribute to annual Process Team key objectives, including the annual Bid Submission Summary, Process Reviews and the identification and execution of process improvements.

Process Execution

Planning, communicating, task management, influencing stakeholders both within and outside the department.

Thorough project and process documentation to enable continuous improvement

Ensuring projects are completed on time and desired goals are achieved.

Process Optimization

Making the processes which support pricing more efficient and accurate

Reducing handoffs and delays

Application of appropriate level of controls and risk management

Incorporating technology and modeling projects

Requiring less customized and fewer one-off calculations

Eliminating waste

Operations Optimization

Identifying non-actuarial functions/tasks/roles within the process that can be accomplished by non-actuarial resources or automation

Begin with the end in mind: free actuarial capacity for expanding market demands through process optimization

Complexity Factors for the Role

Process Factors: Legislative, CMS regulations, Quality Governance, Product Knowledge, Organizational Factors

Product Pricing: Product benefits and plan types (Related Party costs, Value Based, formularies)

Required Qualifications

Bachelor's degree

Project leadership experience

Experience influencing change and quantify the impact and value

5 or more years of process improvement and/or process optimization experience

Preferred Qualifications

Advanced degree

Lean and/or Sig Sigma Certifications

Evidence of successful process improvement implementation

Project Management background

Process design and/or management experience

Engineering, Computer Science or other technical background may be helpful, but not required

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com