Humana Regional Lead, Program Operations in San Antonio, Texas

Role:Regional Lead, Program Operations

Assignment:Humana Government Business- TRICARE Operations

Location:Office- San Antonio, TX

Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances,andpersonal life goals. It’s about living life fully. At Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At Humana, we’re seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

Assignment Capsule The Regional Lead, Program Operations for Humana Government Business is responsible for managing activities centralized within Humana Military’s Government Services division to support TRICARE contract requirements, including, but not limited to, operations associated with access to care, contingencies, office alignment/zip code files, MTF and TRO data requests, customer relationship management, and performance reporting. TRICARE operations action officer who works special plans, projects and programs on behalf of Humana Military Government Services and other senior leaders. Directs the Help Desk that is accessed for data issues and requests, and problem resolution for all users of Humana Military’s Government Portal. Serves as the contingency officer for Humana Military and is also the liaison for access to care and data operations between TRO, other government agencies, and Humana Military Government Services.

Our Department of Defense Contract requires U.S. citizenship for this position.

KEY ACCOUNTABILITIES

  • Creates/sustains close collaborative relationships with TRO and others as Humana Military’s point of contact and subject matter expert for Access to Care (ATC), MTF and TRO data operations, and contingencies.

  • Supervises the timely and accurate collection, organization and analysis of operational data requested for regional, corporate and government use.

  • Manages the Government Users Portal Help Desk, ensuring responses to inquiries and requests for assistance meet or exceed customer expectations.

  • Performs other duties as assigned, including, but not limited to, action officer functions associated with special plans, projects, and programs, and with customer relationship management.

  • Develop and maintain a cohesive, highly engaged, high performing team through sound leadership, strong relationships, effective communication, and a willingness to foster an environment of collaboration, openness, and innovation. / This job description in no way states or implies that the key accountabilities above are the only ones being performed by the individual(s) with this job description. The individual(s) may be called upon and required to follow other instructions or perform other duties and tasks requested by his or her supervisor, consistent with the purpose of the position, department and/or company /

    • Role Essentials *
  • Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)

  • BS/BA in Business, Health Care Administration or a medical discipline

  • Minimum of three years of experience in a managed care environment

  • Keen verbal and written communication skills

  • Masterful problem-solving skills

  • Proven ability to establish and maintain strong professional relationships

  • Masterful problem-solving skills

  • Proficient in use of Microsoft Office products Role Desirables

  • Graduate degree in Business, Health Care, Health Care Administration, or other related field

  • Prior military action officer experience

  • Experience with TRICARE contracts and/or the military health care delivery system

  • Healthcare certification by a professional organization, such as American College of Healthcare Executives

  • Extensive knowledge of TRICARE policies and programs

  • Superior negotiation skills

Additional Information

This role reports to a Vice President. Will have 9-10 direct reports.

At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.

Title: Regional Lead, Program Operations

Location: Texas-San Antonio

Requisition ID: 177672