Clinical Strategies Consultant
Location: Louisville Kentucky
Description: Humana is at the momment seeking for Clinical Strategies Consultant right now, this job will be placed in Kentucky. For detail informations about this job opportunity kindly see the descriptions. As a Consultant for HGO Clinical Strategies you will be accountable for:
Collaboration and coordination with HSO/CGO stakeholders, vendors and other internal stakeholders to resolve issues and develop mutually beneficial strategies and processes for implementing new clinical programs or processes.
Design, development and implementation of new processes and optimization of existing process design to support Medicare/Commercial clinical operations.
Defines measureable success criteria
Ongoing analysis and monitoring of Medicare/Commercial clinical operations and outcomes data.
Partnering closely with other members of project teams to define business requirements that support Medicare/Commercial clinical operations.
Collaboration with multidisciplinary teams and key stakeholders to develop relationships, define business requirements and integration strategies for new plan acquisitions.
Facilitate meetings and develop rollout plans and procedures.
Preparation of presentations and/or communication materials to internal and/or external stakeholders.
Lead teams in the delivery of high-quality solutions that reach measurable metrics.
Key Competencies
Builds Trust: You honor your word by doing what you say you are going to do.
Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
Qualifications
Role Essentials
Bachelor’s Degree in Nursing (BSN) or Bachelor’s degree in a related field
Strong organizational and prioritization skills and ability to multitask and work in a fast-paced environment
Ability to work independently under general instructions; be self-directed and motivated
3 years of managed care experience
Excellent PC skills (including MS Word, Excel, PowerPoint, Visio and Project)
Previous experience leading teams focusing on operational implementation
Excellent communication skills, written and verbal
Strong problem solving skills
Ability to travel required (30%)
Role Desirables
Previous experience planning and managing projects preferred.
Previous experience with Medicare line of business preferred.
Previous experience with state and/or federal regulated environment such as CMS and NCQA preferred.
Schedule
:
Full-time
Primary Location
:
US-KY-Louisville
Role
:
Clinical Innovations and Health Practitioners
Work Environment Type
:
Office
Travel
:
Yes, 20 % of the Time
- .
If you were eligible to this job, please email us your resume, with salary requirements and a resume to Humana.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Fri, 20 Jul 2012 18:53:45 GMT
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