Humana Market Consultation/Partnership Lead in Work at Home, Texas
The Market Consultation/Partnership Lead promotes and improves the quality and measurement of care delivery programs with a market(s). The Market Consultation/Partnership Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
The Market Consultation/Partnership Lead engages and partners with physicians, physician groups, and market leadership and internal corporate teams to drive initiatives within Behavioral Health Utilization Management. Influences and consults on matters related to quality and measurement of care delivery programs with a market(s). Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Typically requires a Bachelor's degree and 8+ years of technical experience, or equivalent and 2+ years of project leadership experience
Masters in Behavioral Health Field
Independent Licensure in Behavioral Health Field
Additional Information Experience in dealing with all books of business (Medicare, Medicaid, Commercial) and working with vendors.
Scheduled Weekly Hours
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