Senior Clinical Business Professional- WAH Nationwide

Profile

Description

The Senior Clinical Business Professional manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Senior Clinical Business 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 Clinical Business Professional designs, communicates, and implements an operational plan for completing different projects; monitors progress and performance against the project plans; takes action to resolve operational problems and minimize delays. The Senior Clinical Business Professional will work with Stakeholders, Leadership and internal Humana teams to initially focus on the company's STARS Program improvement programs and initiatives. At the wrap of the initial project, the Senior Clinical Business Professional will begin working on various projects on national scope to help drive SNP's 5 year plan and objectives te. Identifies, develops, and gathers the resources to complete the projects. Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors. Communicates with other operational areas in the organization to secure specialized resources and contributions for the projects. Conducts meetings and prepare reports to communicate the status of the projects. Sets priorities, allocates tasks, and coordinates project staff to meet project targets and milestones. 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


Bachelor's degree
5 or more years of experience in managed care, health care administration, or a related field
Demonstrated experience leading through influence, setting vision and goals and leading change.
Demonstrated experience driving strategy, metrics, measurements, and trend.
Excellent PC skills (including MS Word , Excel and Power Point)
Excellent communication skills, written and verbal with demonstrated ability to communicate with Leaders across the organization
Strategic thinking and planning capabilities; organized and detail-oriented
Ability to manage multiple projects across business segments


Preferred Qualifications


Master's Degree in Business Administration , data informatics or a related field
Medicaid and Medicare Advantage experience
Knowledge of the Medicare STARS program
2 years years of project and/or initiative management experience
Proven leadership skills
Previous experience managing program performance and service levels
Prior Market Operations experience
Prior Provider Relations experience


Additional Information

Scheduled Weekly Hours

40

Company info

Sign Up Now - WashingtondcCrossing.com