Clinical Quality Analytics Manager

Apply by eMail:15326678.185@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: Clinical Innovations Manager
Assignment: Clinical Quality Analytics Manager
Location: Louisville, KY

Are you a fit?
Are you a strategic thinker and a problem solver? Would you enjoy using your business knowledge and analytical mindset to lead teams that creates and aligns local strategy with larger business objectives? If this sounds like you, then read on!

Assignment Capsule
As a Clinical Quality Analytics Manager, you will lead the development of metrics and analytics for Humana's clinical quality initiatives. Your team will collect and analyze data on clinical quality, generate actionable information and make recommendations that drive decision making in the quality area. You will provide ongoing associate coaching and feedback to enhance associate contribution, competency, and performance. Specifically, you will
Be responsible for Clinical Quality Improvement study design, measurement, analysis and reporting.
Oversee day to day operations and human capital for the Quality Analytics area.
Achieve performance metrics for a fast paced environment.
Develop team members and creating department process flows
Develop, articulate and implement a strategy for the area.
Lead HEDIS (Healthcare Effectiveness Data and Information Set) measure comparison validation and analysis. Translate data-driven insights to design and develop quality improvement programs
Develop outcomes studies for interventions
Act as the key analytics point of contact with internal customers managing Quality programs
Proactively partner and team with different parts of the organization to meet or exceed Humana's clinical quality objectives
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
Progressive analytical leadership experience
Knowledge of HEDIS and other clinical quality measures
Entrepreneurial with a keen analytic mind, who thrives in a fast-paced environment
Masters Degree in Engineering, Statistics, Mathematics, Computer Science, Health Administration or related fields, or equivalent experience
Knowledge of statistical methods and tools (SAS)
Strong written and oral communication skills
Strong organizational skills
Excellent PC skills (including MS Word, Excel and Access).
Role Desirables
Prior experience with HEDIS software (ViPS MedMeasures)
Experience with SQL, PL/SQL
Prior people management experience in managed care or health care dministration.
Reporting Relationships
You will have direct reports and will report to the Director of Clinical Outcomes. This area is under the leadership of the VP of Health Guidance Organization and Chief Operations Officer.

Additional Information

Requirements:
See Above

Education: Masters

Experience: More than 5 years

Travel: None

Apply by eMail:15326678.185@jobfrenzy1.com

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