Precert/Intake Performance Manager

Apply by eMail:15326673.185@jobfrenzy1.com

Description:
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. 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.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Precert/Intake Performance Manager
Assignment:
Location:

Are you a fit?
Are you a natural born leader, a strategic thinker and a problem solver? Would you enjoy using your business knowledge to empower your team to analyze and improve current processes and practices? If so, then read on!

Assignment Capsule
As a Precert/Intake Performance Manager you will design, manage, improve, and be accountable for end-to-end business processes related to the precertification function for the Clinical Intake Team (CIT).
Perform process analysis, gap identification, and implementation of process improvements to increase efficiency, reduce cost and improve overall functional productivity.
Set process goals and drive toward achieving those goals.
Manage existing processes for the precertification function in CIT.
Serves as Subject Matter Expert for precertification function in the CIT.
Demonstrate expert knowledge policies and procedures.
Enhance new and existing technologies/processes in an effort to optimize the use of scarce resources.
Assess process change impact for complexity and stability of the existing process
Collaborate with other internal departments to enhance technologies/processes to increase consistency, efficiency and effectiveness.
Develop relationships with internal and external stakeholders to achieve issue resolutions effectively and efficiently.
Represent CIT as the precertification function spokesperson to various internal and external audiences.
Oversight of program dashboards and action planning to achieve desired business outcomes
Effective change management planning and utilization of communication models.
Education Liaison with oversight of training effectiveness.
Maintenance of Master Impact Calendar for precertification function.


Key Competencies
Builds Human Capital: You deliver current, direct, complete and actionable feedback to associates to support continuous learning and growth; while ensuring that diverse perspectives are widely held, modeled and promoted. By selecting, deploying, developing and rewarding diverse talent, you are able to foster Humana's strategy and meet business requirements.
Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
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.

Role Essentials.
Master's or Bachelor's in health- or business-related field. Related experience will be considered.
Quality, process improvement, or related experience required.
Excellent PC skills (including MS Word, Excel, Visio and Project) required.
Excellent communication skills, written and verbal.
Strong organizational skills.
Health care experience preferred.
Role Desirables
Demonstrates a basic understanding of project management disciplines.
Project management experiences a plus.
Exhibit effective facilitation practices: Prepare agendas, schedule meetings, facilitates meetings, and takes complete and accurate meeting minutes.
Effective communication style - knows appropriate detail level with audiences, clear and concise.
Experience identifying and applying process improvements.
Holds people accountable and responsible.
Be able to work in a virtual environment. (Ex. Net meeting opportunities, video conferencing, etc.)
Must be self-directed and motivated.
Must have the ability to multi-task.
Experience with MS Access a plus.

Requirements:
See Above

Education: Bachelor

Experience: At Least 1 Year

Travel: None

Apply by eMail:15326673.185@jobfrenzy1.com

Job Created: Wed Oct 14 2009 04:27:46 AM
Last Modified: Wed Oct 14 2009 04:27:46 AM