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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in leading interdisciplinary care management teams and implementing strategic plans to enhance operational performance in the health solutions industry. Proficient in analyzing financial trends and developing measurable goals to improve member care outcomes.
Highest-signal resume keywords
Leadership ExperienceHealth Solutions Industry ExpertisePerformance ManagementFinancial Trend AnalysisMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementProgram ImplementationResource PlanningOutcome MeasurementOperational Improvement
Soft Skills
Team LeadershipCommunicationCollaborationProblem-Solving
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft Access
Certifications & Qualifications
Bachelor’s DegreeMaster’s Degree (Preferred)RN State License (Preferred)
Industry Keywords
Health SolutionsCare CoordinationConsumer ExperiencePHI/HIPAA Compliance
About the role
Key responsibilities & impact- Lead interdisciplinary care management teams, including nurses, social workers and behavioral health professionals
- Oversee assessment and evaluation of members’ needs and requirements
- Guide members and families toward appropriate care and wellbeing resources
- Facilitate coordination with internal and external resources to meet member care needs
- Lead implementation of new and updated programs and large-scale functional projects
- Support and enhance technical and operational procedures and processes
- Implement strategic plans and provide input into functional strategy
- Drive departmental goals and objectives to improve performance and outcomes
- Direct and lead teams within the health solutions industry
- Analyze and interpret trends to support decision-making, program effectiveness and operational improvements
- Use Microsoft Office applications, including Word, Excel and Access, for reporting, analysis and communication
- Report to the Senior Vice President, Clinical Operations
- Contribute to continuous improvement of consumer experiences
Requirements
What you’ll need- 8 or more years of technical experience
- 5 or more years of management experience, including 2 or more years of leading leaders
- Bachelor’s degree in business, finance or clinical field
- Prior work experience in the health solutions industry with demonstrated success directing and leading teams
- Expertise in developing and executing specific measurable goals focused on outcomes
- Understanding of and experience driving proactive performance management across a team of scale
- Proficiency in analyzing and interpreting financial trends
- Experience developing and implementing complex resource plans
- Comprehensive knowledge of Microsoft Office applications, including Word, Excel and Access
- Typical business hours aligned preferably with CST or EST
- Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
- Home internet service with at least 25 Mbps download and 10 Mbps upload speed
- Master’s degree in Business Administration or related field preferred
- RN state license in field of study preferred
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Home or hybrid home/office work arrangement
- Occasional travel to Humana offices for training or meetings