1+ months

Senior Policy Governance Professional - Care Delivery Organization

Humana
Colorado Springs, CO 80932
Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led toward achieving goals. The Senior Policy Governance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities The Senior Policy Governance Professional Begins to influence departments strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Required Qualifications + Bachelors degree or equivalent work experience + Active nursing license or similar medical certification (RN, MA, etc.) + 5+ years of technical experience + 5+ years experience with accrediting compliance for medicare advantage programs. + Medicare, Medicaid, and/or legislative/regulatory experience + Excellent oral and written communication skills + Comprehensive knowledge of Microsoft Word, Excel and PowerPoint Preferred Qualifications + Advanced degree + Experience in Project Management + Experience with multiple utilization management platforms Additional Information Interview Format:As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Voice to enhance our hiring and decision-making ability. Modern Hire Voice allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humanas secure website. Work at Home : INTERNET REQUIREMENT As a WAH associate, you will be required to work from your own home and no other location. In order to qualify, you must have a room in your home designated as a home office; away from high traffic areas where confidential information may be secured. You must provide your own high speed DSL or a cable modem. Satellite and/or wireless internet connections are NOT permitted. A minimum internet speed of 10x1 (10mbs download x 1mbs upload) internet speed is required. If your internet speed is unknown, you may contact your internet service provider or www.speedtest.net to verify your connection speed . Scheduled Weekly Hours 40 About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request. California Residents If you are a California resident and would like to review our California Consumer Privacy Act (CCPA) Policy click here: CA Resident Privacy Policy <>

Categories

Posted: 2020-09-28 Expires: 2020-11-27

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Senior Policy Governance Professional - Care Delivery Organization

Humana
Colorado Springs, CO 80932

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast