RN/LPN Senior Provider Engagement Clinical Professional - Work at Home Wichita KS area

Profile

Description

The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Senior Provider Engagement, Clinical 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 Provider Engagement, Clinical Professional represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. This work focuses on areas of clinical emphasis. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, andwork is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications


Must have an active LPN or RN license in KS with no restrictions
5-6 years of varied clinical nursing experience
Background analyzing data and working with reports
Strong team player and the ability to network effectively with other business groups
Strong communication skills both verbal and written
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Ability to work independently under general instructions
Proficient with Microsoft Office products including Word, Excel and Outlook
This position requires you to have a valid driver's license and personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required
Ability to provide a designated workspace; free from distractions with the ability to secure any protected information.
Must live within a commutable distance from Wichita, KS area to visit provider groups on a weekly basis


Preferred Qualifications


Bachelors degree in nursing
Background working with HEDIS and Stars measures
Experience working in a primary care physician (PCP) office


Additional Information

This role is part of Humana's Driver Safety and Vehicle Management Program. Since this role will require driving for the Company, at least part of the time, you may be subject to continuous Motor Vehicle Record (MVR) monitoring and required to complete Humana's initial online driver's training.

This position is also eligible for mileage reimbursement for personal vehicles and to be covered after the first stop of the day and before the last stop of the day. Initial mileage to and from your home is not covered with exceptions for business travel incurred over and above the standard commute. Please ask your recruiter for additional details.

Scheduled Weekly Hours

40

Company info

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