[Hiring] Senior Contract Tools, Education, Processes Professional @Humana

Role Description

The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, and disseminates best in class knowledge. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

• Make decisions on moderately complex to complex issues regarding technical approach for project components.
• Work is performed without direction.
• Responsible for writing policies and procedures regarding contracting and Network Operations within the Market.
• Conduct gap analyses to identify documentation inefficiencies.
• Exercise considerable latitude in determining objectives and approaches to assignments.

Qualifications

• 4+ years of experience creating and updating technical policies and procedures for healthcare operations.
• Possesses a solid understanding of how organization capabilities interrelate across departments.
• Experience with process improvement initiatives.
• Advanced skills in MS Office (Word, Excel, PowerPoint).

Requirements

• Bachelor's degree (preferred).
• Experience conducting process gap analyses to identify and address documentation inefficiencies (preferred).
• Experience managing mid-scale projects (preferred).
• Experience working with Enterprise Solution Point (ESP) (preferred).
• Prior experience working with Medicaid or a strong background in Medicaid operations (preferred).

Benefits

• Competitive medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Time off, including paid time off, company and personal holidays, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.
• Many other opportunities for personal wellness and smart healthcare decisions.

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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.