SkillBridge Intern - Senior Clinical Strategy and Practice Professional

Profile

Description

The SkillBridge Senior Clinical Strategy and Practice Professional Intern will utilize Centralized Clinical Medicaid training and professional military and education to influence department's strategy as well as operational implementation with regard to clinical and quality analytics to contribute to develop a strategy for key 2 projects:

1) Critical Data Element centralized model of care expansion,

2) Clinical Metric Inventory and KPIs across all markets.

This individual contributor internship will primarily be focused on development and implementation of clinical and quality KPIs metrics program enhancements for both Centralized Clinical Analytics and Quality Teams.

Responsibilities

SkillBridge Intern Senior Clinical and Practice Professional will play a key role developing 1-3 year project plans for the 2 key strategic initiatives. This will require close collaboration with the AVP for Clinical Quality and Analytics, the VP of Medicaid Clinical and the Director of Program Development. The intern uses independent judgment requiring analysis of variable factors and determining the best course of action.

The SkillBridge Sr. Clinical and Practice Professional Intern


strategically identifies, develops, and implements programs that influence providers, members, or market leadership towards value-based relationships and/or improved quality metrics.
Evaluate the project in order to develop standards of clinical care with measurable trending and targeted market outcomes.
Develops processes, policies, and procedures with working knowledge of clinical standards of care requirements.
Brings expertise or identifies subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans based on company and external data analysis.
Ensures that policies and procedures align with corporate vision.
Advises executives to develop functional strategies (often segment specific) on matters of significance.
Provides oversight of clinical implementation processes, managing company adherence to standard implementation processes for both Business and IT.
Identifies and reduce redundancies among implementations when necessary.
Identifies and develop contingency plans to mitigate and address risks.
Supports Market leadership in delivering the contractual obligations required under the State Medicaid Contract.


As part of the experience, the intern will be exposed to/mentored in the following areas:

Potentially preventable event metrics and methodologies HEDIS measures for Medicaid accreditation Medicaid models of care - centralized, market level and medical/BH integration Clinical metric development SDOH and Health Related Social Needs Program evaluation planning

Required Qualifications:


Bachelor's Degree
Two (2) or more years of leadership experience.
Possess a solid understanding of healthcare operations, technology, communications, and processes.
Developing and executing on strategic playbooks or roadmaps in alignment with organizational goals.
Ability to identify, structure and recommend solutions/options to meet business stakeholder contractual compliance for implementation.
Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of a management team.
Strong knowledge of Microsoft Office XP products (Word, Excel, Access)


Additional Requirements/Adherence:

Workstyle: Remote work at Home

Locations: United States

Hours: Must be able to work Eastern Time Zone schedule


Monday through Friday 8:00 AM - 5:00 PM Eastern


Travel: As needed to support the business

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:


At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information


Preferred Qualifications


Two (2) or more years of technical and/or business project management experience.
Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies.
Experience operating in matrixed and agile environment.
Six Sigma and / or Project Management Institute certification.
Strong analytical skills


Additional Information

Covid Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting screening and interviewing technology called Modern Hire to enhance our hiring and decision-making ability. We use this technology to gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

You will be able to respond to the recruiters preferred response method via text, video or voice technologies. If you are selected for a screen, you may receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate. You should anticipate this screen to take about 15 to 30 minutes. Your recorded screen will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5- 10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

Company info

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