Category: MM Curator

 
 

Exciting opportunity to lead new government programs at an innovative, rapidly growing care management company that leverages technologyto meet human touch.

The Government Programs and Government Relations team leads the organizations growth efforts by engaging with States to promote and expand the services within identified markets.

Reporting to the SVP, New Program Development, the Director of Business Development for Government Programs partners with State leaders in Medicaid agencies to develop and implement comprehensive family caregiver support programs as Medicaid benefits. In collaboration with other team members, this individuals primary responsibilities will be to present the companys services to prospective clients and secure new State contracts.

Responsibilities:

• Research and analyze industry trends and environmental and competitive conditions generally and in identified markets
  
• Develop a strategic engagement plan for each identified State market that is consistent with company’s objectives and core values
  
• Implement engagement plans efficiently to assess client needs and facilitate alignment with Seniorlink services
  
• Establish and maintain trusted and productive relationships with potential clients throughout the business development cycle
  
• Identify and recommend additional potential client opportunities
  
• Develop and present reports to update leaders on progress, business learnings, and market trends
  

Qualifications:

• 10+ years experience in the healthcare industry in a business development or program development role; experience working within a Medicaid agency highly preferred.
  
• A working knowledge of Medicaid programs including delivery systems for long-term services and supports required
  
• Demonstrated ability to work independently, as a part of a small team, and in larger cross-functional project teams
  
• Excellent communication skills (verbal, written, and presentation)
  
• An entrepreneurial and optimistic mindset
  
• A Bachelors degree is required
  
• Ability to travel; travel will be planned and predictable
  

This is a 100% remote role with some travel. Competitive base salary, incentive bonus and benefits available.

 
 

Clipped from: https://www.startwire.com/jobs/birmingham-al/director-medicaid-program-4001711505?source=seo&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

Description

The Manager, Compliance – Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance – Medicaid State Reporting works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

How we Value You

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

Responsibilities

The Manager, Compliance – Medicaid State Reporting develops and implements compliance policies and procedures and researches compliance issues as they relate to reporting; recommends changes that assure compliance with contract obligations.

• Maintains relationships with Market compliance teams.
  
• Coordinates implementation of new Medicaid markets and compliance with corrective action plans, as needed.
  
• Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving Medicaid State Reporting.
  
• Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.
  

Required Qualifications

• Bachelor’s Degree
  
• 2 or more years of people or project/process management leadership
  
• 5 or more years of Compliance experience
  
• Ability to work in a deadline-driven organization
  
• Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
  
• Ability to manage multiple projects/assignments while working with various departments to obtain data
  
• Strong attention to detail
  
• Success in developing and managing working relationships within a highly matrixed business environment
  
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  

Preferred Qualifications

• Graduate or advanced degree
  
• Prior experience analyzing data and metrics to influence change in departmental processes
  
• Prior health insurance industry experience
  
• Experience in data visualization tools (Power BI, Tableau, etc.)
  
• Medicaid experience/knowledge
  

Additional Information

• Hours- CST or EST
  

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Work-At-Home Requirements

• WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
  
• A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
  
• Satellite and Wireless Internet service is NOT allowed for this role.
  
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from [ Email address blocked ] – Click here to apply to Manager, Compliance – Medicaid State Reporting with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

40

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• Attention To Detail
  
• Corrective And Preventive Action (Capa)
  
• Data Visualization
  
• Decision Making
  
• Leadership
  
• Medicaid
  

 
 

Clipped from: https://www.careerbuilder.com/job/J3P7536MB2S78RGCNKV?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
Performs technical work in obtaining Medicaid/Social Security (SSI) insurance coverage for indigent patients to expedite reimbursement for medical services. Positions take the patient through the entire Medicaid application process from application to award or denial. Positions have authority to represent the Health Care System at each of the four levels of appeals when applications are denied.

Responsibilities:
1. Obtains detailed personal, financial and asset information to determine if patient qualifies for one of ten Medicaid/SSI programs. Completes or assists the patient with completion of Medicaid application. Explains the programs and advises patients of methods to become eligible by rearranging finances and assets. Follows through with applicants to obtain accurate and complete information within strict timeframes. Positions must have substantive knowledge of various rules and regulations governing the ten Medicaid programs. Interprets and applies frequent changes in program regulations to expedite applications.
2. Reviews denials from Medicaid/SSI and researches denial information with patients. Advocates for patient coverage with local and state Medicaid offices to obtain reversal of initial denial. Abstracts information, prepares appeals and represents UNC Health Care System in appeal hearings at local, state (Division of Medical Assistance), Office of Administrative Hearings, and state court to present supportive evidence for patient’s denial reversal.

Other Information Education Requirements:
Associate’s degree in an appropriate discipline (or equivalent combination of education, training and experience).
Licensure/Certification Requirements:
No licensure or certification required.
Professional Experience Requirements:
If an Associate’s degree: Two (2) years of experience in a social services or healthcare organization.
If a High School diploma or GED: Four (4) years of experience in a social services or healthcare organization.
Knowledge/Skills/and Abilities Requirements:
Analytical, Customer Service, Direct Patient/Family Interaction/ Hospital/Healthcare Experience, Interpersonal, Report Preparation, Strong Written and Verbal Communication skills.

Job Details Legal Employer: STATE

Entity: Shared Services

Organization Unit: Medicaid Eligibility

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No
 

 
 

Clipped from: https://jobs.cw33.com/jobs/eligibility-specialist-medicaid-eligibility-chapel-hill-north-carolina/683903875-2/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

List of Jobs and Events

 
 

Advisory Services/Project Management Analyst (Medicaid)

Mathematica Policy Research Princeton, NJ Full-Time

Position Description:
 

Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public- and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics. Our work yields actionable information to guide decisions in wide-ranging policy areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development. Mathematica offers our employees competitive salaries, and a comprehensive benefits package, as well as the advantages of being 100 percent employee owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in tandem with the company’s growth and financial strength. You will also be part of an independent, employee-owned firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Read more about our benefits here: [ Link removed ] – Click here to apply to Advisory Services/Project Management Analyst (Medicaid)

 

About the opportunity:
We currently have openings for Advisory Services/Project Management Analysts with a strong interest in project management in our Medicaid project area. This role blends management, research, and technical assistance. As such, we are seeking prospective employees with a passion for project management and an interest in improving government operations and health care delivery. In particular, we are looking for individuals who can support current and emerging work across any number of areas related to monitoring and improving Medicaid programs such as: Medicaid managed care programs, value-based purchasing and alternative payment models, long-term services and supports, measures of delivery and quality of services for beneficiaries, data analytics, and outcomes of innovative programs and policies. Advisory services analysts work on a variety of projects spanning policy and programmatic areas and are likely to be connected to 2-3 projects at a time. These projects range from data analytics to program evaluation to implementation support. Candidates do not need to have experience in all of these areas but should have experience in at least one of them.

Across all projects, Advisory Services/Project Management Analysts are expected to:
• Provide the direction and organization needed to help keep Medicaid projects on time and on budget and facilitate communications across and between internal and external stakeholders.
• Conduct project management activities, such as helping project directors plan, manage, and close out complex projects and designing, implementing, and monitoring tools and processes to help organize data and manage teams.
• Perform complex analyses of projects to monitor and evaluate project performance and progress, including monitoring project costs, assessing earned value, and overseeing subcontractors.
• Develop and maintain project collaboration tools, including Microsoft Project schedules, SharePoint websites, Jira trackers, and Excel spreadsheets.
• Provide technical assistance to state and federal health agencies or healthcare providers by designing webinars or responding to questions from stakeholders.
• Draft client memos, technical documentation, proposals and other contractual deliverables, such as chapters for reports, case studies, and/or data dictionaries.

Position Requirements:
 

• Master’s degree in public policy, public administration, business, or related field; or commensurate experience in operations or management-oriented positions
• Strong management skills, including ability to monitor costs on multimillion-dollar contracts, mentor staff, and oversee small teams to complete work within tight timelines without compromising on quality.
• Strong organizational skills and high level of attention to detail; flexibility to manage multiple priorities, sometimes simultaneously, under deadlines.
• Excellent oral and written communication skills, for example the ability to write clear and concise technical documentation, and to communicate with clients diplomatically.
• Strong analytic and problem-solving skills, and ability to apply critical and creative thinking to identify solutions and respond to client requests in situations where guidance is unclear or absent.
• Professional experience in a similar field or position
• Interest in improving and researching Medicaid and other government programs, and/or providing technical assistance to health care entities.
• Some travel may be required
 

Desired Skills and Experience:
• Work experience with a state or federal agency, a foundation, or health care. program is highly desirable, as is prior experience working with Medicaid data.
• Knowledge of quantitative and/or qualitative research methods.
• Experience with management tools, such as Microsoft Project and Jira.
• Certifications demonstrating management proficiency and expertise, such as Project Management Professional (PMP) or Lean Six Sigma
• Experience engaging a range of client stakeholders by applying a variety of approaches (such as human-centered design).
• Experience bridging between business owners and technical staff
• Basic knowledge of software development lifecycles, and agile development.

Please submit a cover letter and your resume along with a work product that demonstrates analytic skills and reflects independent analysis and writing, such as a capstone project, analytic report, or a management plan (nothing company confidential, please).
Various federal agencies with whom we contract require that staff successfully undergo a background investigation or security clearance as a condition of working on the project. If you are assigned to such a project, you will be required to obtain the requisite security clearance.

This position is open in the following cities and states; however, we are all currently working from home and provide the support and flexibility needed to work from home. We ask the candidates to identify their preferred location for when we return to working in-person.

Available Locations: Chicago, IL; Ann Arbor, MI; Washington, DC; Princeton, NJ; Woodlawn, MD; Cambridge, MA; Seattle, WA; Oakland, CA; Remote

This position offers an anticipated annual base salary range of $60,000-$95,000. This position may be eligible for a discretionary bonus based on company and individual performance.

In accordance with Executive Order 14042 and its implementing guidelines, all Mathematica employees must provide documentation that they have been fully vaccinated or obtain an accommodation through Human Resources by providing documentation from a licensed health care provider that they are unable to be vaccinated against COVID-19 because of a disability (which would include medical conditions) or provide an attestation that they are entitled to an accommodation because of a sincerely held religious belief, practice, or observance.

 
 

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Job description

Overview:

Medicaid Project Coordinator in Albany, NY or NYC

Item 1223

Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Responsibilities: Summary: The Bureau of Maternal and Child Health Policy in the Division of Program Development and Management has overall responsibility for Medicaid policy and programs across various health services and initiatives, including but not limited to: perinatal standards of care and health benefits; community-based maternal services; early childhood screening and preventative services; school-based health services; and integrated physical and behavioral healthcare services for children.
The Medicaid Project Coordinator will provide planning, tracking and implementation support to various tasks and initiatives within the Bureau.
Responsibilities will include:

• Develop and maintain project management tools such as work plans, task trackers, and Gannt charts.
  
• Track tasks and deliverables for completion on schedule and identify and alert team to risks.
  
• Facilitate project team meetings to drive adherence to work plans and due dates.
  
• Provide meeting support, to include scheduling, agenda preparation, presentation and document development, documenting of action items.
  
• Lead communication workstreams for Medicaid pilot initiatives, to include maintaining the public webpages, authoring, and sending program announcements, overseeing general mailboxes and listservs, and serving as the point of contact for the public.
  

Qualifications:
Basic Qualifications:

• Bachelor’s degree
  
• At least 2 years of professional experience
  
• Must be a United States Citizen or a Permanent Resident of the United States in order to be considered
  

The successful candidate will meet the minimum qualifications for the position and demonstrate:

• Basic project management skills and general knowledge of effective project management methods.
  
• Ability to prioritize and organize across multiple assignments.
  
• Strong interpersonal and communication skills
  
• Proficiency with Microsoft Office Suite (Word, PowerPoint, Excel, Outlook)
  

 
 

• Employees must follow established work schedules. The usual work schedule is 40 hours per week, Monday through Friday. Normal work hours are 8:00 a.m. to 4:30 p.m. unless otherwise specified by the supervisor, this includes a half hour unpaid lunch break. Total work hours must equal 40 hours per week.
  

 
 

 
 

 
 

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1. Operational Sleep Research Scientist
   

TechWerks Silver Spring

 
 

Senior Researcher – Medicaid

American Institutes For Research Columbia, MD Full-Time

OverviewAIR’s Payer Innovation, Transformation, and Support program area is seeking a Senior Researcher with a strong background in Medicare and Medicaid policy to join AIR’s Health Division. The Senior Researcher will support projects ranging from technical assistance and implementation support to evaluation and analytical support for CMS, states, and foundations.Candidates hired for the position might initially start working remotely but will eventually have the option to work from one of our offices located in Arlington, VA; Washington, DC; Rockville, MD; Columbia, MD; Austin, TX; Chicago, IL; Chapel Hill, NC or Waltham, MA or continue to work remotely.About AIR:Established in 1946, with headquarters in Arlington, Virginia, AIR is a nonpartisan, not-for-profit institution that conducts behavioral and social science research and delivers technical assistance to solve some of the most urgent challenges in the U.S. and around the world. We advance evidence in the areas of education, health, the workforce, human services, and international development to create a better, more equitable world.AIR’s commitment to diversity goes beyond legal compliance to its full integration in our strategy, operations, and work environment. At AIR, we define diversity broadly, considering everyone’s unique life and community experiences. We believe that embracing diverse perspectives, abilities/disabilities, racial/ethnic and cultural backgrounds, styles, ages, genders, gender identities and expressions, education backgrounds, and life stories drives innovation and employee engagement. Learn more about AIR’s Diversity, Equity, and Inclusion Strategy and hear from our staff by clicking here.ResponsibilitiesThe responsibilities for the position include:* Provide research and analytical leadership for major contract and grant research, implementation, technical assistance, and evaluation projects.* Conceptualize the vision for the required work, provide support for project teams in developing and carrying out the work, follow sound project management practices to ensure the timely completion of all deliverables within budget, and with high quality research standards that meet client requirements.* This position will require collaboration within and outside AIR, including with program providers, subject matter experts, as well as federal, state, and local agency officials.QualificationsEducation, Knowledge, and Experience:* Master’s degree in health administration, MPP, MBA or MPA (with health-related focus/concentrations) with 7+ years of experience in a similar contracted research/consulting firm, Federal or State-level government, or foundation that conducts policy and health services research, or PhD in public policy, economics, psychology, sociology, anthropology, other social science discipline with 3+ years of experience in a similar contracted research/consulting firm, Federal or State-level government, or foundation that conducts policy and health services research.* At least 4 years of experience working on Medicaid-related research.* Experience conducting research on Medicare, state-based health exchanges, or health and human service programs is preferred but not required.* Experience leading projects and/or tasks that require mixed methods:* Designing and leading evaluations and other types of mixed methods research, including:* Qualitative and quantitative data collection and analysis, including interviewing, conducting surveys, calculating or using descriptive and inferential statistics.* Using administrative data such as claims or other types of data used to administer large federal or state programs (Medicare, Medicaid, commercial health plan data, drug data, hospital data, TANF, SNAP, etc.)* Understanding and analyzing regulatory, sub-regulatory, and guidance materials.* Experience with, or exposure to, person-centered approaches and equity frameworks is desirable.* Ability to independently conceptualize, organize, draft, revise, and manage written deliverables such as reports, memos, PowerPoint presentations, or other client-facing materials.Skills:* Client management leadership skills:* Ability to interpret and as needed, clarify, client requests and manage client expectations; ability to manage project scope; ability to translate client asks into operational processes for execution (identifying staff, identifying steps, developing timelines); experience overseeing or guiding teams of more junior staff, including quality assurance.* AIR is seeking a Senior Researcher who values diversity, equity, and inclusion.* Comfortable working in a virtual/dispersed work environmentDisclosures:AIR requires all new hires to be fully vaccinated against COVID-19 or receive a legally required exemption from AIR, as a condition of employment. AIR will ask candidates to verify their vaccination status only after a conditional offer of employment is made. Applicants should not provide information about their vaccination status or need for exemption prior to receiving a conditional offer of employment from AIRApplicants must be currently authorized to work in the U.S. on a full-time basis. Employment-based visa sponsorship (including H-1B sponsorship) is not available for this position. Depending on project work, qualified candidates may need to meet certain residency requirements.All qualified applicants will receive consideration for employment without discrimination on the basis of age, race, color, religion, sex, gender, gender identity/expression, sexual orientation, national origin, protected veteran status, or disability.AIR adheres to strict child safeguarding principles. All selected candidates will be expected to adhere to these standards and principles and will therefore undergo rigorous reference and background checks.#LI-DC1 #LI-Remote

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Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day Call Center Representatives Needed*.

Interested in supporting Medicaid providers?*.Conduent has immediate remote openings*.$15/HR & Great Benefits*.Summary:* Call Center Customer Service Representative.

This is a great opportunity to learn Medicaid provider support and the medical billing and claims process for third parties and healthcare providers regarding Medicare Claims What you get:* + Full-time employment with benefits + Hourly rate of.$15/hour* starting on day one. + Standard scheduled. 8am – 5pm Monday through Friday and then Saturdays 9am to 2pm.

+ Substantial Call Center & Customer Service Training + Great Work Environment with Career growth.People who succeed in this role have:* + Positive and energetic attitude. + Ability to communicate clearly and confidently.

+ Ability to multi-task and manage time effectively. + Attention to detail, grammar, and spelling accuracy. + Must type 25 wpm or more to qualify.

Responsibilities:* + Using a computerized system, responds to Kentucky Medicaid provider inquiries in a call center environment using standard scripts and procedures. + Gathers information, assesses caller needs, research and resolves inquiries and documents calls. + Provides clear and concise information regarding eligibility, claim status and provider enrollment status.

+ Follows documented policies and procedures including call handling and escalations. + Overall acts as an advocate for the Medicaid Provider to ensure their needs are met Additional Duties as Assigned:* + Verify documentation and images. + Attend scheduled staff meetings.

+ Complete required assigned training. + Track daily task for quality review Preferred Experience:* + One of year medical insurance or medical office experience. + Computer system experience with data entry and database documentation knowledge.

+ Call center or professional office experience Requirements* + Must be at least 18 years of age or older. + Must have a high school diploma or general education degree (GED). + Must be eligible to work in the United States.

+ Must be able to clear a criminal background check and drug test + Limited physical requirements: Typical office environment. Phone and keyboard for periods of time. Join a rapidly growing customer service organization that can support your career goals and Apply Today! This is a great opportunity to learn and be a part of the growing medical support community.

Conduent offers benefits and advancement opportunities. Come join us and help support our Medicaid providers! At Conduent, we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccinations for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible.

Providing this information is a requirement of your employment at Conduent. This does not disqualify you from this position. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the “Submit” button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form (https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf) .

You may also click here to access Conduent’s ADAAA Accommodation Policy (http://downloads.conduent.com/content/usa/en/document/cdt\_adaaa\_accommodation\_pol.pdf) . The Colorado Equal Pay for Equal Work Act requires employers to disclose the following information.

If the successful applicant will be required to perform work from a physical site outside Colorado, the following information may not apply.Actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive.

In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time. _At Conduent,_ _we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible._.

 
 

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Location: Company:

 
 

Description
Humana Healthy Horizons in Louisiana is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional nursing, social work, and nonclinical personnel. The RN, Clinical Educator (Nursing Educator 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
The RN, Clinical Educator (Nursing Educator 2) develops educational goals and plans for new associate orientation, ongoing training, and professional development in virtual and in person instructor-led trainings. Training programs may include, but not be limited to, Care Management, Utilization Management, and/or Compliance throughout Humana Healthy Horizons organization supporting Louisiana Medicaid.
– Selects appropriate training materials.
– Creates an environment that is conducive to learning and exchanging information, engages the learner, and produces the desired outcomes.
– Monitors training personnel records to ensure that associates have met all company training requirements for company, quality, and regulatory compliance.
– Analyzes course evaluations in order to judge effectiveness of training sessions, develops new training based upon identified needs, and implements suggestions for improvements.
– Evaluates the relevance of online resources to complement the facilitated experience in the fields as appropriate.
– Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
– Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
– Follows established guidelines/procedures.
Required Qualifications
– Must reside in the state of Louisiana.
– Unrestricted Registered Nurse (RN) license in the state of Louisiana.
– Minimum two (2) years of work experience in training and learning development.
– Experience in the development of educational materials.
– Understanding of curriculum design and adult learning principles.
– Proficiency in Microsoft Office applications including Outlook, PowerPoint, Word and Excel.
– Strong presentation skills in presenting virtually and in person.
– Strong collaboration and communication skills.
– Experience working with multiple layers of leadership within an organization.
– Must have the ability to provide a high speed DSL or cable modem for a home office.
– A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
– Satellite and Wireless Internet service is NOT allowed for this role.
– A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
– Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Preferred Qualifications
– BSN, Bachelor’s in Business, Health Administration or a related field.
– Experience using a wide variety of training tools to effectively facilitate to a wide audience.
– Experience managing projects or processes.
Additional Information
– Travel: Up to 10% to Humana Healthy Horizons locations in Metairie or Baton Rouge, LA for team engagement and meetings.
– Typical Workdays/Hours: Monday – Friday; 8:00am – 5:00pm CST.
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40

 
 

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