Director of Proactive Services

Apply by eMail:15348842.185@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 Director
Assignment:
Location:

Are you a fit?
Are you innovative and enjoy defining strategy? Would you enjoy using your business knowledge to lead teams to create and maintain programs that align local strategy with larger business objectives? If this describes you, then read on!

Assignment Capsule

Develop and manage programs that reach measurable qualitative and financial metrics.
Recruit and develop talent, facilitating good team and succession planning.
Participate in an integrated fashion with other areas of Clinical activity.
Maintain strong, working relationship with internal stakeholders.


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.
Acts Strategically: You foster a consistent understanding of strategy, translate it into defined plans, and "stay the course" to implement it, while anticipating and identifying where change is needed.
Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
Leadership: You inspire extraordinary results by: engaging associates, valuing diversity and shaping culture to support a high performance environment.
Design data-driven interventions for all member guidance activities related to those at risk for, are newly diagnosed, or stable with chronic conditions. This includes all messaging activities to close Gaps in Care.
Develop identification and stratification tools to engage the appropriate members at the right time and determine the best program for them. This involves Health risk assessments, eHealth content, and Humana's Personal Health Record.
Receive, review, and prioritize ideas and concepts submitted to address at-risk or low-acuity chronic member needs.
Serve as the Product Owner to develop concepts through initial implementation, and then continuously improve them through regular review of predetermined performance metrics.
Collaborate with Operational and Market Leadership to transition initiatives from projects to business processes.
Develop measures of success, including targets for all initiatives and interventions.
Evaluate effectiveness of interventions in collaboration with the analytics teams.
Collaborate with other design directors (Acute and Chronic Complex) to coordinate interventions between domains.


Role Essentials

Prior work experience in the health solutions industry with demonstrated success directing and leading teams
Proficiency in analyzing and interpreting financial trends
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access
Bachelor's Degree in a clinically-related field.
5 years Managed Care experience in a leadership capacity.


Role Desirables
Master's Degree in MBA, MPH, MHA, or equivalent

Reporting Relationships
You will have 3-5 direct reports, and you will report to a Vice President. This area is under the leadership of the SVP and Chief Operating Officer.

Additional Information

This job provides relocation assistance.

Requirements:
See Above

Education: Masters

Experience: More than 5 years

Travel: None

Apply by eMail:15348842.185@jobfrenzy1.com

Job Created: Fri Oct 30 2009 04:27:33 AM
Last Modified: Fri Oct 30 2009 04:27:33 AM