Clinical Vendor Management Lead - Remote FL

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Job Information

Humana

Clinical Vendor Management Lead - Remote, FL

in

Daytona Beach

Florida

Description

The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Clinical Vendor Management Lead reviews and communicates with vendors to regarding day-to-day matters looking at clinical metrics and standards, HEDIS measures, quality improvement initiatives and improvement plans.

Builds and maintains positive relationships with vendors and monitor vendor performances.

Advises executives to develop functional strategies (often segment specific) on matters of significance.

Coordinates quarterly clinical JOCs and monthly operational meetings.

Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision.

Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications

Bachelor's Degree and an unrestricted RN license in the state of Florida, Licensed Masters Level Social Worker in the state of Florida without restrictions or other clinical experience based on vendor management experience.

2 or more years of project leadership experience.

Progressive operational experience.

Demonstrated experience working in a metric-intensive operational unit.

Proficient in Microsoft Office applications including Word, Excel and PowerPoint.

Exceptional organizational, interpersonal, presentation, written and oral communication skills.

Ability to influence and build relationships with individuals of all levels of the organization internally and externally.

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

Must have a room in your home designated as a home office; away from high traffic areas where confidential information may be secured.

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.

We will require full Covid Vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law.

Preferred Qualifications

Medicaid experience.

Prior experience managing clinical vendor management relationships.

Certification with Six Sigma and/or the Project Management Institute.

Additional Information

Travel:

up to 25%

Typical Work Days/Hours:

Monday - Friday; 8:30am - 5:00pm EST.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com