Behavioral Health Manager, Provider Installation - Humana
Augusta, ME
About the Job
Become a part of our caring community and help us put health first
The Behavioral Health Manager, Provider Installation manages a division of the Provider Contracting Loading (PCL) Team within the Provider Network Operations area under Provider Process & Services. In this role, you will manage Front Line Supervisors, Analysts and Consultants supporting Humana Behavioral Health and National Ancillary Contracts.. The Manager role is strategic in nature managing multiple work streams with a focus on leveraging technology and solving for systemic challenges. Management includes the oversight of meeting loading Turnaround Times and Individual Department SLA's. Aligning on desired outcome of provider updates with primary partners and adjacent PNO teams with laser focus on Quality.
The Manager, Provider Installation key responsibilities include but are not limited to:
+ Accountable for meeting Key Performance Indicators with regard to Turnaround Time and Quality
+ Analyze business metrics and provide monthly review of assigned business operations
+ Act as a Strategic Partner with Market Leadership and Service Partners
+ Collaborate with cross-functional teams identifying and resolving complex technical and operational challenges
+ Create and maintain dashboard metrics for service partners; such as, Markets, NNO and PNO Leadership
+ Influence partners identifying new ways of achieving success through training, education and leveraging technology
+ Facilitate Problem Management around escalated issues from customer base, ensuring problem is resolved timely, root cause is assessed, and mitigation steps are put in place decreasing future risk of issue arising again
+ Advanced interpersonal communication is a must, listening, learning and driving collaboration within and outside the organization
+ Model Humana's Values, including, creating and completing yearly Impact Plans, promoting activity supporting team engagement and well-being
Use your skills to make an impact
Required Qualifications
+ 2+ yrs. in leadership role within a highly complex operational environment
+ Provider Experience related to data, contracting, network, and/or claims
+ Professional experience utilizing MS Office desktop applications (Word, Excel, PowerPoint)
+ Prior experience with of process /workflow concepts/project management within an operational area
Preferred Qualifications
+ Bachelor's Degree
+ Basic Microsoft Access
+ Reporting & Analysis with Project Management
+ Process Experience (Six Sigma)
+ Experience with Performance Guarantees
Additional Information
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$76,800 - $105,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Behavioral Health Manager, Provider Installation manages a division of the Provider Contracting Loading (PCL) Team within the Provider Network Operations area under Provider Process & Services. In this role, you will manage Front Line Supervisors, Analysts and Consultants supporting Humana Behavioral Health and National Ancillary Contracts.. The Manager role is strategic in nature managing multiple work streams with a focus on leveraging technology and solving for systemic challenges. Management includes the oversight of meeting loading Turnaround Times and Individual Department SLA's. Aligning on desired outcome of provider updates with primary partners and adjacent PNO teams with laser focus on Quality.
The Manager, Provider Installation key responsibilities include but are not limited to:
+ Accountable for meeting Key Performance Indicators with regard to Turnaround Time and Quality
+ Analyze business metrics and provide monthly review of assigned business operations
+ Act as a Strategic Partner with Market Leadership and Service Partners
+ Collaborate with cross-functional teams identifying and resolving complex technical and operational challenges
+ Create and maintain dashboard metrics for service partners; such as, Markets, NNO and PNO Leadership
+ Influence partners identifying new ways of achieving success through training, education and leveraging technology
+ Facilitate Problem Management around escalated issues from customer base, ensuring problem is resolved timely, root cause is assessed, and mitigation steps are put in place decreasing future risk of issue arising again
+ Advanced interpersonal communication is a must, listening, learning and driving collaboration within and outside the organization
+ Model Humana's Values, including, creating and completing yearly Impact Plans, promoting activity supporting team engagement and well-being
Use your skills to make an impact
Required Qualifications
+ 2+ yrs. in leadership role within a highly complex operational environment
+ Provider Experience related to data, contracting, network, and/or claims
+ Professional experience utilizing MS Office desktop applications (Word, Excel, PowerPoint)
+ Prior experience with of process /workflow concepts/project management within an operational area
Preferred Qualifications
+ Bachelor's Degree
+ Basic Microsoft Access
+ Reporting & Analysis with Project Management
+ Process Experience (Six Sigma)
+ Experience with Performance Guarantees
Additional Information
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$76,800 - $105,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana