Humana

About Humana

 

Job Category:

Member Quality & Financials - Risk Adjustment & STARS operations

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full Time

Market Consultation/Partnership Lead

Humana - Work At Home, Texas

Posted: 12/12/2018

Description

The Market Consultation/Partnership Lead promotes and improves the quality and measurement of care delivery programs with a market(s). The Market Consultation/Partnership Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Market Consultation/Partnership Lead engages and partners with physicians, physician groups, and market leadership and internal corporate teams to drive initiatives within Behavioral Health Utilization Management. Influences and consults on matters related to quality and measurement of care delivery programs with a market(s). Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

               

Required Qualifications

Typically requires a Bachelor's degree and 8+ years of technical experience, or equivalent and 2+ years of project leadership experience

Preferred Qualifications

Masters in Behavioral Health Field

Independent Licensure in Behavioral Health Field 

Additional Information  Experience in dealing with all books of business (Medicare, Medicaid, Commercial) and working with vendors. 

Scheduled Weekly Hours

40

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