Transplant CM Process Manager – Louisville

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies, with approximately 11 million medical members located primarily in 15 states and Puerto Rico. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Over its 43-year history, Humana has consistently seized opportunities to meet changing customer needs.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.


Role: Clinical Innovations Process Manager
Assignment: Transplant Case Management
Location: Louisville, KY

Are you a fit?
Are you a strategic thinker and a problem solver? Would you enjoy using your business knowledge to analyze and improve current processes and practices? If this sounds like you, then read on!

Assignment Capsule
As a Clinical Innovations Process Manager you will analyze, create, improve and implement new clinical processes across various functional areas of Humana, evaluating the effects of your process changes by quantitatively and qualitatively measuring them against internal and external benchmarks.

• Identify departmental objectives and drive process methodology that will achieve all desired business outcomes.
  
• Model business consultation capabilities to align required needs with executable business solutions.
  
• Articulate a realistic vision that incorporates continuous operational improvements into daily business practice.

Key Competencies

• Builds Human Capital: You deliver current, direct, complete and actionable feedback to associates to support continuous learning and growth; while ensuring that diverse perspectives are widely held, modeled and promoted. By selecting, deploying, developing and rewarding diverse talent, you are able to foster Humana's strategy and meet business requirements.
  
• Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
  
• Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
  
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Role Essentials

• Valid nursing license without restrictions
  
• Bachelor's degree in Nursing with MSN preferred
  
• 3-5 years of Transplant operational leadership experience
  
• Experience in managed care setting, with knowledge of utilization and case management practice
  
• knowledge of transplant networks and transplant criteria
  
• Comprehensive knowledge of all Microsoft Office applications, including Word, Project and Visio

Role Desirables

• Masters in Business, Healthcare Administration or Nursing
  
• Knowledge of bariatric management

Reporting Relationships
You will have 1-5 direct reports, and you will report to a Process Owner. This area is under the leadership of the Director of Commercial Case Management.

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