Humana

Senior Configuration Professional - Epic

San Antonio, Texas, United States

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, Healthcare TechnologyIndustries

Requirements

Candidates must possess a minimum of a bachelor's degree or equivalent work experience, along with knowledge of Humana's internal policies, procedures, and systems. Strategic thinking, planning capabilities, and strong organizational and detail-oriented skills are essential. Proficiency in data analysis, including understanding and interpreting data, is required. Excellent written and verbal communication skills are necessary for effective interaction with individuals at all levels, both internally and externally. Enthusiasm, motivation, and the ability to act as a change agent with strong selling and presentation skills are crucial. Healthcare and Medicare experience, along with experience facilitating mixed and indirect matrix teams, is required. The ability to lead project teams, drive implementation, identify process performance gaps, recommend improvements, and work with internal support groups to achieve business results is necessary. Successful completion of an Epic certification exam within 60 days of training is mandatory. Preferred qualifications include working knowledge and experience in risk adjustment and STARS, experience building digital capabilities, demonstrated ability to develop and lead initiatives with influence, strong attention to detail, sound follow-up skills, results-driven orientation, project management skills, and excellent communication abilities.

Responsibilities

The Senior Configuration Professional will be responsible for accessing and configuring applications and systems integrated with business processes, data, and IT infrastructure, including building modules, developing tables and reports, and creating complex functions. This role involves advising the business, evaluating requests, implementing new features and changes, troubleshooting, resolving testing issues, configuring processes and experiences, integrating systems, developing interfaces, and maintaining documentation. The professional will begin to influence department strategy and make decisions on moderately complex to complex issues regarding the technical approach for project components, working without direction and exercising considerable latitude in determining objectives and approaches. The role specifically focuses on configuring Humana’s new Care and Utilization Management platform (Epic) and member’s clinical digital engagement via MyChart, supporting the enterprise’s future clinical platform and improving member health outcomes.

Skills

Epic Configuration
Care and Utilization Management
MyChart
Data Analysis
Strategic Thinking
Problem Solving
Research
Analysis
Written Communication
Verbal Communication

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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