Associate Director – HEDIS Operations, Business Operations

November 23

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Humana

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Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

📋 Description

• supports all aspects of configuration control, data management, and deficiency reporting • supports all aspects of the non-standard supplemental (NSS) program, including: systems readiness, process improvements, resource deployment, technology implementation, and data management/reporting • create a collaborative environment for their team and partners to determine, and oversee execution of, numerous strategies required to ensure success for Medicare Stars and Medicaid LOBs • Become an expert in HEDIS & Stars specifications, processes, and schedules • Interpret NCQA technical specifications and regulatory audit requirements to partner on data/process updates • Execution and oversight of seasonal program deliverables, ensuring satisfaction of program milestones • Provide leadership and management for the NSS season to ensure optimal outcomes from clinical reviews • Partner to drive and oversee comprehensive program to support quality improvements and holistic data capture

🎯 Requirements

• Bachelor's Degree or equivalent work experience • 6+ years of relevant experience in operations and/or project management • 2 or more years of management/people leader experience • Demonstrated ability to articulate ideas effectively in both written and oral forms • Be agile and adaptable to shifting priorities • Proficient in balancing numerous projects and resource pools simultaneously • Able to learn and leverage multiple systems and data sets • Self-starter who assumes accountability for their team’s success and strives to maximize results for the enterprise

🏖️ Benefits

• 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