Key skills
AnalyticsLeadership
About this role
Role Overview
- Successful execution of regulatory risk adjustment audits minimizing financial impacts to Humana through strong operational execution
- identifying areas of opportunity for improvement and leveraging key partnerships with Quality Cost & Strategy partners
- market risk adjustment associates, and other associates across Humana, including legal and regulatory compliance partners
- Operational excellence of all coding quality audits the team conducts
- Drive development of analytics of audit data and results to inform future strategy to minimize Humana’s risk regarding risk regarding risk adjustment data
- Provide compliance oversight over all risk adjustment activities through execution of clearly defined programs, identified and defined key metrics and reporting
- Establish and manage goals, priorities, staffing and budgets for the team.
Requirements
- 5+ years of project and people leadership experience
- 8-10+ years of experience in strategic operations, analytics, including process improvement and stakeholder influence
- 5 + years of experience in program development and management, leveraging metrics and performance reporting to track results
- 5 + years of Process Improvement and operations experience
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance