Payment Integrity Lead - Work at home

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Job Information

Humana

Payment Integrity Lead - Work at home

in

Aberdeen

South Dakota

Description

This position will oversee CCM automation work. Specifically, they will manage multiple automation projects for our onshore and offshore Automation Anywhere citizen developers. This associate will manage timelines, project plans, and oversee all aspects of the automation development.

Responsibilities

This position will oversee all automation initiatives within the Claims Cost Management organization, managing automation projects for our onshore and offshore citizen developers, as well as larger automation projects being developed by internal RPA partners. This position will manage timelines, project plans, and oversee all aspects of the automation development program within CCM.

This position will require exercising independent judgment and decision making on complex issues regarding job duties and related tasks, working under minimal supervision and using independent judgment to determine the best course of action.

Required Qualifications

Bachelor's Degree

2 or more years of project leadership experience

Comprehensive knowledge of Microsoft Office Programs Word, PowerPoint, and Excel

Skilled in data and/or systems analysis

Excellent independent judgement and decision making ability for complex issues

Ability to handle multiple priorities

Capacity to maintain confidentiality

Excellent communication skills both written and verbal

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Experience with RPA solution implementation

Once travel restrictions are lifted, must be able to travel up to 10% both nationally and internationally

For this job, associates are required to be fully COVID vaccinated, including booster or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home.

If progressed to offer, you will be required to:

Provide proof of full vaccination, including booster, or commit to testing protocols OR  

Provide proof of applicable exemption including any required supporting documentation

Medical, religious, state and remote-only work exemptions are available

Work at Home/Remote Requirements

Must ensure designated work area is free from distractions during work hours and virtual meetings

Must provide a high-speed DSL or cable modem for a workspace (Satellite, wireless and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Preferred Qualifications

Experience leading people and/or processes

Experience in Financial Recovery

MBA

Experience with automation initiatives, RPA, etc.

Experience using the following systems: CAS, MTV, CISpro and CIS

Knowledge of Microsoft Office Programs Access and Project

Experience in a fast paced, metric driven operational setting

Project Management Professional (PMP) Certification

Scheduled Weekly Hours

40

Company info

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