Job Details

Senior Risk Management Professional - Louisville KY or WAH in US

Company name
Humana Inc.

Location
Canton, OH, United States

Employment Type
Full-Time

Industry
Healthcare

Posted on
Sep 04,2019

Valid Through
Dec 18,2019

Profile

Description

The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk for Medicare Appeals. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the analysis of situations requires an in-depth evaluation of Medicare regulations.

Responsibilities

The Senior Risk Management Professional assesses and communicates information regarding business risks with functions across the organization, particularly as it relates to Medicare Appeal requirements. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Collaborates with operations and medical directors. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications• Bachelor's degree or 2 years of prior Maximus work experience• Minimum of a high school diploma or equivalent • Experience with Medicare's Independent Review Entity

Preferred Qualifications• MBA or JD• Experience in Managed Care• Experience presenting data and cases to Senior Leadership

Additional InformationInterview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice 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 (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Montage Voice interview. In this interview, you will 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.

Scheduled Weekly Hours

40

About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.

Company info

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

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