Payment Integrity Strategic Initiatives Lead
About The Position
The Payment Integrity Strategic Initiatives Lead solves complex business problems using internal and external data to provide insight to decision-makers. The role works on problems of diverse scope and complexity, advises executives on significant functional strategies, and exercises independent judgment on complex matters with minimal supervision. The Lead supports senior-level strategic initiatives and IT projects, assesses financial impacts of process changes and technology needs, and manages vendor relationships. The position collaborates with internal and external stakeholders, communicates roadmap progress and milestones to leadership, and oversees and develops a team of six or more Product Owners and Project Managers. It also provides requirements gathering, project oversight, user acceptance testing, production support, training, and education, while leading cross-functional initiatives and managing multiple high-priority projects. This is a remote position with occasional travel to Humana offices for training or meetings. Home or hybrid home/office associates must have a dedicated workspace that protects member PHI/HIPAA information and meet the specified internet requirements. The position is scheduled for 40 hours per week and is eligible for a bonus incentive plan.
Requirements
- At least 5 years of work experience reading and interpreting claims.
- At least 3 years of project leadership experience.
- Comprehensive knowledge of Microsoft Word, PowerPoint, and Excel.
- Skill in data and/or situational analysis.
- Excellent independent judgment and decision-making ability for complex issues.
- Ability to handle multiple priorities.
- Ability to maintain confidentiality.
- Excellent written and verbal communication skills.
- Passion for contributing to an organization focused on continuously improving consumer experiences.
Nice To Haves
- Bachelor's degree.
- Experience leading people and/or processes.
- Experience in Financial Recovery.
- Experience using CAS, MTV, CISpro, and CIS.
- Knowledge of Microsoft Access and Project.
- Experience in a fast-paced, metric-driven operational setting.
- Project Management Professional (PMP) certification.
- Bilingual in Spanish and English.
Responsibilities
- Support implementation of senior-level strategic initiatives and IT projects.
- Assess and quantify financial impacts of process changes, new technology needs, and related initiatives.
- Manage and cultivate vendor relationships.
- Collaborate with internal business stakeholders and external stakeholders.
- Update leadership on roadmap initiatives, product progress, milestones, and transition progress.
- Oversee and develop a team of six or more Product Owners and Project Managers.
- Conduct requirements gathering and provide project management oversight.
- Support user acceptance testing, production support, training, and education.
- Create and present project status updates and financial impact information to senior-level executives.
- Manage and support leaders with multiple high-priority projects.
- Lead cross-functional initiatives.
Benefits
- Medical benefits.
- Dental benefits.
- Vision benefits.
- 401(k) retirement savings plan.
- Paid time off.
- Company and personal holidays.
- Paid parental and caregiver leave.
- Short-term disability.
- Long-term disability.
- Life insurance.
- Bonus incentive plan.
- For associates who live and work from home in California, Illinois, Montana, or South Dakota, a bi-weekly payment for internet expenses.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
