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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in healthcare operations leadership, managing large teams, and implementing operational strategies that align with business goals. Proficient in improving data quality and guiding automation priorities while ensuring compliance with PHI/HIPAA regulations.
Highest-signal resume keywords
Healthcare Operations LeadershipTeam ManagementOperational Strategy DevelopmentProvider Data ManagementKPI Performance Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Operations ManagementData Quality ImprovementCapacity PlanningAutomation GuidanceKPI Management
Soft Skills
CollaborationLeadershipCommunication
Certifications & Qualifications
Government Security Clearance (NBIS)
Industry Keywords
VA CCN CredentialingProvider Data LoadingPHIHIPAAVA/TRICARE Experience
About the role
Key responsibilities & impact- Report to an Associate VP of Strategy Advancement
- Manage a large operations team
- Build, execute, and oversee manual operations supporting VA CCN Credentialing and Provider Data Loading
- Define operational strategy and priorities aligned with business goals and requirements
- Ensure operational infrastructure remains efficient, reliable, and cost-effective
- Collaborate across Provider teams and Humana Military
- Improve manual work and enhance data quality
- Guide automation priorities
- Manage performance through KPIs, staffing, and capacity planning
- Travel occasionally to Humana offices for training or meetings
Requirements
What you’ll need- U.S. citizenship required
- Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
- Candidates currently living in Puerto Rico cannot be hired
- 7 years managing 15+ associates
- 10 years of healthcare operations leadership experience
- 5 years of experience building a large-scale operations team for a new implementation
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
- Bachelor's degree preferred
- VA/TRICARE experience preferred
- Provider data management experience preferred
Benefits
Comp & perks- Bonus incentive plan based upon 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
- Self-provided internet service for home work
- Remote work arrangement
- Occasional travel to Humana offices for training or meetings
