Clinical Operations Professional 2

Become a part of our caring community

The Clinical Operations Professional 2 will lead and manage strategic initiatives that support organizational objectives, compliance requirements, and industry standards. Partner with business, operational, and technical stakeholders to define project scope, objectives, timelines, and success criteria. Drive project execution through all phases of the project lifecycle, from initiation and planning through implementation and post-launch evaluation. Monitor project progress, dependencies, and critical path activities to ensure timely delivery of key milestones and objectives.

Identify, assess, and manage project risks and issues, developing and implementing effective mitigation and contingency plans. Facilitate decision-making and problem resolution by engaging stakeholders and escalating issues when appropriate. Establish project governance structures, communication plans, and reporting mechanisms to ensure transparency and accountability.

The Clinical Operations Professional 2 should have proven interpersonal skills with the ability to interface effectively both internally and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPA's, community organizations and other health plan staff. This role will report to the Associate Director, Clinical Operations Strategy.

Required Qualifications

• Bachelor's degree

• 4+ years of Project Management experience

• Experience leading Agile, hybrid, and waterfall project methodologies

• 3+ years of Technical experience

• Customer Service

• Knowledge of and experience working with Provider Communities

• Experience with Electronic medical records/EMR and/or Health Information Management/HIM systems, specifically Athena

• Knowledge of Excel, Word and Power Point Presentations in a business setting

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

• PMP Certified

• Familiar with JIRA Align

• SAFe Certified

• If selected for this role, you may be required to complete and pass background check/investigation for AHCA

• Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

• Interview Format

• As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice, Video and/or Text to enhance our hiring and decision-making ability. Montage Voice allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

• If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Montage. In this interview, you may listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

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Work at Home Requirements:
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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