Senior Policy Governance Professional - Care Delivery Organization

Profile

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 department's 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 **** with instructions to add the information into the application at Humana's 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 **** to verify your connection speed .

Scheduled Weekly Hours

40

Company info

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