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Associate Director, Contract Tools, Education and Processes

Humana Montpelier, VT
  • Expired: November 14, 2019. Applications are no longer accepted.

Description
The Associate Director, Contract Tools, Education, Processes builds templates, standard documentation, policy and protocol, case studies, and disseminating best in class knowledge. The Associate Director, Contract Tools, Education, Processes requires a solid understanding of how organization capabilities interrelate across department(s).
Responsibilities

The Associate Director, Contract Tools, Education and Process for Network Language Resource Group is responsible for analyzing and improving current provider contracting templates, processes and standardization. The Associate Director manages a team of associates who provide internal support to provider network contracting associates, leaders, and provider service operations to ensure provider contract terms meet Humana's strategic business needs and are operational within Humana's systems.

Responsibilities:
+ Grows talent of direct reports.
+ Manages the modernization of provider contract template(s).
+ Assists markets with meeting strategic goals by ensuring standard language meets their needs.
+ Analyze reimbursement methodologies and rates compared to peers and other contracted providers while providing strategic direction to market management for potential implementation.
+ Ability to manage and bring highly visible projects to closure.
+ Ensure Humana provider contracting migrates to standardization to ensure state and federal compliance and Humana business goals can be implemented.
+ Supports PPS with operational improvement initiatives and oversight.

Required Qualifications
+ Bachelor's Degree in Business, Healthcare Administration and/or related field
+ 6 or more years of strong technical experience related to provider template negotiation
+ Experience leading and managing a team
+ Possesses a solid understanding of how organization capabilities interrelate across department(s)
+ Experience identifying and resolving complex technical and operational problems within department(s)
+ Clear oral and written communication skills
+ Flexible, dynamic personality who works well in a team environment and can lead a team
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications
+ Master's degree in Business and/or related field
+ Healthcare, managed care experience
+ Experience with data extraction and analysis technologies
+ Experience with reporting and creating metrics for management

Additional Information
Will manage a team of 3-5 direct reports.

Scheduled Weekly Hours
40
About Us
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms -when and where they need it. Our employees are at the heart of making this happen and that's why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer
It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance.

Humana Safety and Security
Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request.

Humana

Address

Montpelier, VT
05602 USA