Senior Risk Management Professional

Profile

Description

The Senior Risk Management Professional identifies and analyzes potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex projects where the analysis of situations processes, or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Risk Management Professional estimates the potential financial consequences of an occurring loss. Develops and implements controls and cost-effective approaches to minimize the organization's risks. Assesses and communicates information regarding business risks with functions across the organization. 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.

Use your experience to partner with business owners to support compliance within the Humana Pharmacy Solutions organization. You will work with the Risk Operations and Humana Pharmacy Solutions teams to identify, track, resolve, and report out on compliance issues and risks identified in the Humana Pharmacy Solutions space.


Supporting Medicaid and commercial pharmacy lines of business - compliance issues resolution, audits and readiness activity, communication of changes to broader team.
Reading Medicaid contract language and managing related pharmacy implementation and process documentation activity
Identification of risk areas, developing corresponding audit/review recommendations, and reviewing audit output
Develop executive-level dashboards to summarize compliance risks and key performance indicators - Commercial and Medicaid
Develop and maintain partnerships across Humana.


Role Essentials


Bachelor's degree in Business or related field
Audit and/or process improvement experience
Successful track record in facilitating and consulting across teams and managing projects
Thrives in a fast paced, multi-project work environment while still ensuring attention to detail
Excellent communication skills, both oral and written
Proficiency in Microsoft Word, Excel, PowerPoint & Outlook


Role Desirables:


Knowledge of Commercial and Medicaid regulations governing health care industries
Project Management experience
Previous Medicaid and/or commercial insurance/PBM experience


Additional Information

Associates 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 Montage Voice to enhance our hiring and decision-making ability. Montage 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 Montage 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 to 30 minutes. Your recorded 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

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