Director, Care Management

🔥 20 horas atrás

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $126.300 - $173.700 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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Humana

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1961

🏥 Saúde

🛡️ Seguros

⚕️ Seguro de Saúde

Healthcare • Insurance • Healthcare Insurance

A Humana é uma empresa de saúde dedicada a gerar um impacto positivo na saúde de indivíduos, comunidades e do sistema de saúde como um todo. Com foco em colocar a saúde em primeiro lugar, a Humana atende a uma ampla e diversa gama de populações, incluindo idosos e militares, oferecendo planos Medicare Advantage (HMO, PPO e PFFS). A Humana está comprometida em promover uma cultura de pertencimento e respeito mútuo, oferecendo benefícios competitivos e flexíveis para garantir a segurança financeira de seus funcionários e de suas famílias. A empresa se orgulha de criar um ambiente de trabalho inclusivo, no qual todos têm a oportunidade de ter sucesso.

Descrição

• Lead interdisciplinary care management teams, including nurses, social workers and behavioral health professionals • Oversee assessment and evaluation of members’ needs and requirements • Guide members and families toward appropriate care and wellbeing resources • Facilitate coordination with internal and external resources to meet member care needs • Lead implementation of new and updated programs and large-scale functional projects • Support and enhance technical and operational procedures and processes • Implement strategic plans and provide input into functional strategy • Drive departmental goals and objectives to improve performance and outcomes • Direct and lead teams within the health solutions industry • Analyze and interpret trends to support decision-making, program effectiveness and operational improvements • Use Microsoft Office applications, including Word, Excel and Access, for reporting, analysis and communication • Report to the Senior Vice President, Clinical Operations • Contribute to continuous improvement of consumer experiences

🎯 Requisitos

• 8 or more years of technical experience • 5 or more years of management experience, including 2 or more years of leading leaders • Bachelor’s degree in business, finance or clinical field • Prior work experience in the health solutions industry with demonstrated success directing and leading teams • Expertise in developing and executing specific measurable goals focused on outcomes • Understanding of and experience driving proactive performance management across a team of scale • Proficiency in analyzing and interpreting financial trends • Experience developing and implementing complex resource plans • Comprehensive knowledge of Microsoft Office applications, including Word, Excel and Access • Typical business hours aligned preferably with CST or EST • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Home internet service with at least 25 Mbps download and 10 Mbps upload speed • Master’s degree in Business Administration or related field preferred • RN state license in field of study preferred

🏖️ Benefícios

• Bonus incentive plan based on company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Home or hybrid home/office work arrangement • Occasional travel to Humana offices for training or meetings

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