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Job Information
Job title

< ;b>Medicare HSO Program Manager</b>

Company Humana
Wage between $0.00 - $0.00 Annually
Location United States, Kentucky, Louisville
Employment type Full Time
Education Bachelor
Year Experience 3 - 4 Years of Practical Experience
Travel None
Published on 9/25/2006
Description
Humana Inc., headquartered in Louisville, Ky., is one of the nation's largest publicly traded health benefits companies, with approximately 9 million medical members. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Over its 45-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio.


The Senior Products Health Services Organization Program Manager will lead Medicare teams and will have oversight for multiple large, process-improvement and large-scale implementation projects in the Medicare medical management area. S/he will have responsibility to insure Medicare is within scope and that business rules relating to the Medicare environment are included within all implementations, integrations and processes. S/he will manage additional teams and associates, as necessary, through the application of specialized project management methods, along with program management skills to define scope, plans, schedules, and documentation. S/he works directly with cross departmental teams, as well as business owners across the individual Medicare regions and Commercial lines of business, as appropriate. S/he is responsible for the translation of generalized business goals and objectives into concrete strategies and tactical plans.

The Senior Products Health Services Organization Program Manager will manage program, process and implementation successes from beginning to end; provide resource management and accountability from cross-functional resources, develop resources plans and perform quality reviews. S/he will work under the direction of the Medicare HSO Director of Clinical Process.

Key Accountabilities:

  • Provide leadership and oversight to teams which provide value-added support to Medicare business operations by developing strategic and tactical plans and improving operations.
  • Develop a broad understanding of Humana's Medicare medical management processes with a total systems approach.
  • Identify and prioritize projects and resources.
  • Prepare and present findings / proposals to senior management, with recommendations, including cost benefit analysis, risk mitigation with action plans


Minimum Requirements:

  • Bachelor's degree required
  • Clinical background preferred
  • Humana systems background and understanding (including clinical software programs)
  • Analytical in thinking with preference for data driven decision making
  • Excellent communication skills which include ability to effectively negotiate and persuade all levels of the organization, including Senior Leadership
  • Process orientation with ability to perform root cause analysis
  • Demonstrated strategic business perspective
  • Outstanding organizational skills
  • 7-10 years experience in the healthcare industry
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Experience/Skills
See Above

Other desired skills:
Medicare HSO Program Manager
This job has expired.