Regional Market Operations Professional

Profile

Description

The Regional Market Operations Professional will support development of strategy and lead execution of utilization strategy, including assignment of providers to counties based on hours needed. Will provide non-clinical support for providers acting as an escalation point for unresolved issues. Will proactively mitigate process deviation in market to ensure appropriate NP utilization.

Responsibilities

The Regional Market Operations Professional assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. 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. Exercises considerable latitude in determining objectives and approaches to assignments.

Responsibilities Leads:

Support development and execution of utilization strategy, including assignment of providers to counties based on hours needed

Non-clinical support of providers, acting as escalation point for unresolved issues

Develops strategies for proactive mitigation of process deviations in market (e.g., contingencies set up when demand not materializing)

Collaborates with:

Capacity Planning to execute utilization strategy and provide qualitative input to strategy

Market Clinical Manager to manage clinical network and deliver positive experience for NPs

Director, Call Center to execute dialer strategy based on forecasted member demand and NP assignment

Director, Sourcing to ensure sufficient supply of NPs in market

Accountable for:

NP Utilization and completed visits in regional market

Required Qualifications

Bachelor's degree

3-5 years within healthcare operations, ideally with daily direct clinician touchpoints

Demonstrated ability to execute and proactively diagnose and resolve issues in planning, coordination and other operational functions

5 or more years of Workforce Management experience

Proficient in Microsoft Word, Excel and PowerPoint

Excellent oral and written communication and problem-solving skills

Strong analysis, critical thinking, and analytical problem solving skills

Ability to handle multiple tasks and deadlines with attention to detail

Tracked history of frequent collaboration with diverse functions to run daily operations

Preferred Qualifications

Advanced Degree

Prior experience in Process or Project Management

Additional Information

Scheduled Weekly Hours

40

Company info

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