Humana

Senior Process Improvement Professional, Care and Service Coordination Strategy & Growth

Humana(1 month ago)

RemoteFull TimeSenior$78,400 - $107,800Care and Service Coordination Strategy
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About this role

The Care and Service Coordination Strategy and Growth Senior Professional designs and helps execute Medicaid and dual Medicare/Medicaid (DSNP) care and service coordination strategies. The role translates business goals and regulatory requirements into operational blueprints and scalable implementation models while partnering with cross-functional teams and market leadership. It focuses on ensuring operational readiness, compliance, and a consistent member and provider experience across new Medicaid markets.

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Required Skills

  • Care Management
  • Medicaid
  • Medicare
  • Regulatory Compliance
  • Contract Review
  • Operational Design
  • Workflow Documentation
  • Process Improvement
  • Project Management
  • Clinical Auditing

+5 more

Qualifications

  • Bachelor’s Degree
  • Licensed Clinician (Preferred)
Humana

About Humana

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