Humana Hiring for Director, Health Services, East Central region at Green Bay, Wisconsin Full Time

Description

Responsibilities

The Director, Health Services uses clinical knowledge, communication and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. The Director, Health Services will:

• Interact with and engage provider groups to improve communications and workflows, monitor performance, and drive results.

• Provide input into functions strategy.

• Develop and manage programs that reach measurable qualitative and financial metrics.

• Recruit and develop talent, facilitating good team and succession planning.

• Participate in an integrated fashion with other areas of Clinical activity.

• Maintain strong, working relationship with internal stakeholders.

Required Qualifications

• Registered Nurse (RN)

• 5 plus years prior work experience in the health solutions industry

• 5 plus years leadership/management experience

• Must be willing to travel for provider facing and corporate meetings as conditions require/permit

• Demonstrates a high degree of organizational skill and time management for multiple competing priorities

• Demonstrates an ability to quickly adapt and manage through a changing environment

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• Demonstrates a high level of emotional intelligence and ability to develop rapport

• Demonstrates the ability to manage a large work force and effectively navigate change

Preferred Qualifications

• Candidate must reside in the East Central region

• Prior managed care and/or health plan experience

• Provider engagement experience

• Bachelor’s or Master’s degree in Nursing, Business, Health Care Administration or related field

• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint

• Must be skilled in the use of various standard technology platforms and virtual meetings

• Demonstrates a high level of sophistication with data and information analytics

Scheduled Weekly Hours

40