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Humana Inc.

Strategic Consultant, Medical Management - Program Assessment & Review - Military veterans preferred

Humana Inc. - San Antonio, TX

Role: Strategic Consultant, Medical Management - Program Assessent & Review Assignment: Humana Government BusinessLocation: San Antonio, TX Assignment Capsule Be a part of HGB's Medical Management team - be a proactive team player in a challenging and dynamic work environment where you will continuously have learning opportunities. The successful Medical Management Strategic Consultant facilitates the development and maintenance of HGB\u2019s Medical Management business strategy, enabling performance excellence across HGB, capturing aligned new business opportunities, and smooth transition of new capabilities to HGB\u2019s core business.Humana Government Business is seeking a Medical Management Strategic Consultant who will: lead or support medical management engagements that focus on solving the most important HGB challenges with a single goal in mind \u2013 to create substantial and lasting value. To this end, you will need to be an exceptionally strong team player that proactively supports innovation and optimization engagements while always striving to improve clinical and financial outcomes. In this role, you will be a leader of change management whose contributions will enable a successful transition from 3.1 million to a 6.4 million member population and covered geography expands from 10 to 31 states while enhancing the medical management programs.
Leads a portfolio of engagements to develop new products and processes within medical management; creates new capabilities and relationships with partners, vendors, and industry agencies.
Has vision, anticipates future consequences and trends accurately; has broad knowledge; creates competitive and breakthrough strategies and plans.
Builds collaborative business partnerships which brings clarity to the organization and facilitates effective change.
Determine requirements of a system, process or work unit; predicts and mitigates constraints.
Understands how to define the scope of a project, develop an approach, secure resources and coordinate activities of a team to achieve important business objectives within a pre-determined timeframe.
Frequently presents to HGB and medical management, gains alignment on recommended solutions and implementation roadmaps.
Role Essentials
Our Department of Defense contract requires U.S. Citizenship for this role
Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)
Bachelor\u2019s degree required (preferably in Business, Engineering, IT, Finance or Accounting
3 plus years of healthcare consulting experience or similar experience
Proven ability to excel in a team environment and be a \u201cProactive\u201d team player
Outstanding oral, written and organizational skills
Role Desirables
MBA, MS, CPA or graduate healthcare related degree
PMP certification or Project Management experience
Lean / Six Sigma Green Belt or Black Belt or similar experience
Humana Government Business, Inc. (Humana Government) is a wholly owned subsidiary of Fortune 100 health and wellness company Humana Inc. Headquartered in Louisville, KY, we have been a Department of Defense TRICARE Managed Care Support Contractor since 1995, currently serving more than 3 million beneficiaries in the South Region of the United States. Humana Government Business has the proven experience and capability to manage highly complex, large-scale health care programs throughout the federal government. Humana Government Business is comprised of several lines of business including Humana Military, Clinical Resources, and Patient Appointing Services.

8 days 6 hours ago

Humana Inc.

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Strategic Consultant, Medical Management - Program Assessment & Review - Military veterans preferred Humana Inc. - San Antonio, TX, United States

   

Location: San Antonio, TX

Company Profile:
Humana's diverse lines of business work to serve all types of consumers. From families to seniors to military members to self-employed individuals, there is a plan to meet many unique needs. Find out how Humana's associates and corporate leaders are committed to customer service. Our team uses innovation to deliver results to our consumers.