Humana

About Humana

 

Job Category:

Member Quality & Financials - Utilization Management

Country:

United States

Postal Code:

73301

Approximate Salary:

Not Specified

Position Type:

Full Time

Regional VP, Health Services

Humana - Austin, Texas

Posted: 11/14/2018

Description

The Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, Health Services requires a in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.

Responsibilities

The Regional VP, Health Services provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, and develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy.

               

Required Qualifications

  • Master's Degree
  • 10+ years of technical
  • 8+ years of management experience
  • A current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various states in region of assignment
  • MD or DO degree
  • Board Certified in an approved ABMS Medical Specialty

Preferred Qualifications

Additional Information

Scheduled Weekly Hours

40

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