Humana

About Humana

 

Job Category:

Integrated Care & Care Operations - Clinic/Center Administration

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full Time

Clinic Operations Professional 2

Humana - Wkly Houston, Texas

Posted: 12/10/2018

Description

The Clinic Operations Strategy Professional 2 will be responsible for training, creating and implementing processes and programs to ensure the staff in emerging and existing markets are fully prepared for successful operations. The Clinic Operations Strategy Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action and varies educational techniques to adapt staff learning comprehension.

Responsibilities

The Clinic Operations Strategy Professional 2 collaborates concurrently with market leaders, center managers, clinical staff, billing/insurance, marketing, legal, risk, compliance and privacy departments. Secures needed resources, and establishes/verifies key performance indicators to ensure readiness. Leads the transition to ongoing operational processes. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

               

Required Qualifications

  • High School Diploma or GED
  • 5+ years clinical setting experience (primary care ideal)
  • 3+ years acting as a mentor or supervisor in a clinical care setting
  • Experience training and/or mentoring others in operational roles
  • Knowledge of insurances (Medicare, Medicaid, and/or supplemental insurances)
  • Knowledge of operation of  all office equipment (scanners, faxes, signature pads)
  • Proven interpersonal skills with the ability to interface effectively both internally and externally with a with all levels of staff and leaders
  • Knowledge of and experience working within provider community (referrals, pre-authorizations, medical records)
  • Experience with EMR and Health Information Management systems
  • Knowledge of Microsoft Office (Excel, Word, Outlook and Power Point Presentations) in a business setting
  • A high level of engagement and emotional intelligence
  • Ability to travel within local market and non-local market 2-3 weeks per month
  • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening and Flu program. If selected for this role, you will be required to be screened for TB (upon hire only) and receive a flu shot (annually).
  • Ability to work in a fast-paced setting


Preferred Qualifications

  • Bachelor's degree
  • Experience with eCW
  • Prior experience in Practice Management, Health Center/Clinical Operations, and/or Clinic Administration (as an Administrator or Assistant Administrator)

Additional Information

  • If selected for this role, you may be required to complete and pass background check/investigation for AHCA
  • Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Interview Format

  • As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice, Video and/or Text to enhance our hiring and decision-making ability. Montage Voice allows us to quickly connect and gain valuable information from 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 (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Montage. In this interview, you may 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

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