Hospital Credit Balance Consultant
Humana (Louisville, Kentucky)

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Job Description: Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals. Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience. Role: Provider Network Operations Business Consultant Location: Louisville, KY Are you a fit? Are you a self-starter and an analytical thinker? Would you enjoy leading special projects to analyze and improve business processes and operations? Assignment Capsule As a business consultant you will: serve as a subject matter expert lead on special projects, providing timely and accurate analysis, design and testing coordination, and documentation of complex business tasks and processes. You will also develop schedules and plans for the coordination and management of resources to establish more efficient business operations. Key Competencies Leadership: You inspire extraordinary results by: engaging associates, valuing diversity and shaping culture to support a high performance environment. Engaging the Customer: You easily establish rapport with others by valuing their concerns and by taking personal responsibility to create a resolution. After ensuring an understanding of those concerns, you provide appropriate information and exceed expectations. Acts Strategically: You foster a consistent understanding of strategy, translate it into defined plans, and "stay the course" to implement it, while anticipating and identifying where change is needed. Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results. Role Essentials Bachelor's degree in Business, Economics, Finance or related fields Progressive experience in the health service industry, healthcare finance or healthcare related consulting 1 or 2 years experience auditing hospital credit balances in a hospital setting Knowledge of hospital contracting, medical claims processing and experience with Microsoft Office (Word, Excel, Access) products Role Desirables Prior experience working with credit balance vendors in the hospitals business office Reporting Relationships You will report to a PNO Manager. This area is under the leadership of the SVP & Chief Operating Officer. This position will work with Humana's credit balance vendors to ensure established processes are efficient and meet the needs of Humana, vendors and facilities. Position will perform credit balance audits on behalf of Humana when needed. Position will work with Humana provider contractors to help gain access for Humana vendors to perform credit balance audits

Expected Travel Time: About 50%