Committee Consultant - Illinois Medicare-Medicaid Plan

Profile

Description

The Quality Compliance Professional Committee Consultant maintains / assists, coordinates/leads, monitors, reports on contractually required committees with establishing & maintaining relationships with committee members in the Illinois MMP market, in collaboration with the senior consultant,

The Quality Compliance Professional Committee Consultant work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

Responsibilities:

Compliance to Accreditation, State and Federal Regulations:

Maintains / assists committees in accordance with State and CMS contractual obligations

Maintains / assists committee meetings in collaboration with senior consultant

Assists as needed with required audits

Assists as needed with survey preparation

Assists with committee preparation and committee minutes

Assists with quarterly /annual CMS/State required documents

Establishes /maintains partnership with key leaders vested in care of Duals/Medicaid members and their caregivers where applicable

Facilitation and Committee Oversight:

In collaboration with senior consultant, coordinates/leads committee meetings, as needed to obtain committee members' viewpoints using principles of qualitative research.

Assists with planning of topics and questions for discussion based on business strategy and contractual obligations

Skillfully and respectfully conducts meetings, as needed

Establishes and maintains a trusting, caring, and supportive environment for group discussion

Reports and Analysis:

In collaboration with senior consultant, assists with preparation of quarterly/annual reports in coordination with CMS and State contractual obligations

Special Projects :

Participates in work groups/lean projects/task forces which may include but are not limited to analysis and improvement activities, community outreach and partnerships as assigned

Requirements

Health plan or managed care experience

College Degree and/or equivalent

Proficiency with computer skills & Microsoft Office: Excel and PowerPoint

Strong organizational skills

Excellent verbal and written communication skills

Experience working with stakeholders outside of Humana

Experience in leading meetings and keeping to agenda/timeframe

Desirables

Quality Improvement Management experience

Knowledge of the geography of the state of Illinois

Additional Information

Working in the state of Arizona must comply with the Tobacco Free Hiring Policy and upon offer will be subjected to nicotine testing as part of a 10-panel drug test

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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 interview. In this interview, you will receive a text with interview questions and you will provide responses to each question. Your interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com