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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in operations management, particularly in claims administration and financial services, with a strong focus on process improvement and project management. Holds relevant certifications and possesses the ability to implement effective operational frameworks and controls.
Highest-signal resume keywords
Claims Administration ExperienceProject Management ExperienceLean Six Sigma CertificationOperational Framework DevelopmentProcess Improvement Implementation
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 ManagementClaims AdministrationProject ManagementProcess ImprovementWorkflow EnhancementFinancial Inventory MonitoringOperational ControlsPerformance Enhancement
Tools & Technologies
Internet Service (25 Mbps Download, 10 Mbps Upload)
Certifications & Qualifications
Lean Six Sigma CertificationProject Management Certification
Industry Keywords
VA CCN ContractPHI/HIPAA ComplianceGovernment Security ClearanceInterim ApprovalOperational Framework
About the role
Key responsibilities & impact- Assist with the stand-up and implementation of a new VA CCN Contract
- Establish the operational framework, processes, and controls necessary for contract execution
- Partner across multiple teams to identify process improvement opportunities
- Implement solutions that enhance performance across claims and financial services operations
- Monitor and oversee claims and financial inventory
- Implement workflow enhancements and operational controls
- Report to an Associate VP, Financial Planning and Analysis
Requirements
What you’ll need- U.S. citizenship required
- Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
- Must not currently live in Puerto Rico
- Bachelor's degree
- 5 years of experience in operations supporting claims administration
- 2 years of project management experience, including large-scale projects
- Lean Six Sigma or Project Management certification
- Internet service with at least 25 Mbps download and 10 Mbps upload speed
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based upon company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Remote work arrangement
- Occasional travel to Humana offices for training or meetings
