FreshRemote.Work

Manager, Provider Installation – Central Region

Remote US

Become a part of our caring community and help us put health first
 The Manager, Provider Installation position will manage a Provider Activation Team within the Provider Network Operations area under Provider Process & Services.  The Manager role is strategic in nature managing multiple work streams with a focus on leveraging technology and solving for systemic challenges. 

Management includes the oversight of meeting loading Turnaround Times and Individual Department SLA’s.  Aligning on desired outcome of provider updates with primary partners and adjacent PNO teams with laser focus on Quality. Build relationships with Market Management collaborating on priorities and improvement opportunities driving positive outcomes. Work closely with Offshore Vendor to ensure work they support is timely and accurate. 

Key Responsibilities

  • Accountable for meeting Key Performance Indicators regarding Turnaround Time and Quality
  • Analyze business metrics and provide monthly review of assigned business operations
  • Act as a Strategic Partner with Market Leadership and Service Partners
  • Collaborate with cross-functional teams identifying and resolving complex technical and operational challenges
  • Create and maintain dashboard metrics for service partners, such as Service Alignment Managers, Markets and PNO Leadership
  • Influence partners identifying new ways of achieving success through training, education and leveraging technology
  • Facilitate Problem Management around escalated issues from customer base, ensuring problem is resolved timely, root cause is assessed, and mitigation steps are put in place decreasing future risk of issue arising again
  • Advanced interpersonal communication is a must, listening, learning and driving collaboration within and outside the organization
  • Model Humana’s Values, including, creating and completing yearly Impact Plans, promoting activity supporting team engagement and well-being

Use your skills to make an impact
 Additional Job Description

Required Qualifications

  • 2+ yrs. in leadership role within a highly complex operational environment
  • Provider Experience related to data, contracting, network,  and/or claims
  • Professional experience utilizing MS Office desktop applications (Word, Excel, PowerPoint)
  • Prior experience with of process /workflow concepts/project management within an operational area

 

Preferred Qualifications

  • Bachelor’s Degree
  • Basic Microsoft Access
  • Reporting & Analysis with Project Management
  • Process Experience (Six Sigma)
  • Experience with Performance Guarantees

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$76,800 - $105,800 per year


 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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Job Profile

Regions

North America

Countries

United States

Restrictions

California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Internet speed requirements Montana Must have dedicated workspace Remote US South Dakota Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota

Benefits/Perks

401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Competitive benefits Dental Disability Holidays Internet expense reimbursement Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Smart healthcare decisions Support for team engagement Support whole-person well-being Telephone equipment provided Time off Vision Vision Benefits Volunteer time Volunteer time off Work From Home

Tasks
  • Analysis
  • Analyze business metrics
  • Build relationships
  • Collaborate with cross functional teams
  • Collaboration
  • Communication
  • Facilitate problem management
  • Manage provider activation team
  • Project management
  • Reporting
  • Training
Skills

Access Analysis BI Business Business Metrics Business Operations Claims Claims processing Collaboration Communication Compensation Contracting Dashboard metrics Data Data analysis Dental Excel Healthcare Healthcare services HIPAA Insurance Interpersonal Interpersonal Communication IT Leadership Life Insurance Listening Management Medicaid Medicare Metrics Microsoft Microsoft Access MS Office Network Network management Operational Management Operations Organization Policy PowerPoint Problem Management Project Management Recruitment Reporting Reporting & Analysis Risk Six Sigma Teams Technical Technology Training Vision Wellness Word

Experience

2 years

Education

Associate Bachelor's degree Business Communication Education Healthcare Higher IT Management MS Operations

Certifications

Six Sigma

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9