Humana is a health insurance provider for individuals, families, and businesses. The Home Health RCM Business Support Professional will manage projects, collaborate with clinical teams, and ensure compliance with healthcare regulations while enhancing operational efficiency.
Gathers, compiles, and verifies information and enters it accurately into documents such as reports, presentations or forms; and office systems such as databases or spreadsheets.
Makes standard calculations to accurately compile and report statistics.
Able to ingest and merge several reports to present to leadership.
Leads and organizes projects within the department to enhance efficiency.
Ensures timely follow up and completion of projects.
Manage short-term projects (typically under 12 months) from planning through implementation, ensuring alignment with departmental goals and healthcare standards.
Interpret and apply established project management practices to semi-routine work, with latitude to determine work methods and priorities.
Monitor project timelines, deliverables, and resource allocation using tools like Microsoft.
Collaborate with clinical and administrative teams to implement initiatives such as workflow optimization, documentation improvements, or compliance updates.
Apply knowledge of healthcare regulations (e.g., HIPAA, CMS) and internal policies to ensure project alignment with operational standards.
Address moderately complex issues by drawing on prior experience and defined procedures.
Make informed decisions within established parameters, with flexibility to interpret policies and adjust approaches as needed.
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
Communicate project status, risks, and outcomes to internal stakeholders, including department leads and regional managers.
Coordinate with cross-functional teams to gather input, resolve issues, and ensure successful project outcomes.
Regularly contribute ideas for process enhancements and identify potential challenges within assigned projects.
Support the development of best practices and documentation for repeatable project success.
Responds to, or redirects, routine inquiries from external or internal sources about the organization, its activities, or processes to ensure callers/visitors are answered promptly and accurately.
Communicates with internal and external vendors.
Performs other routine administrative activities according to the organization's established procedures.
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Follows established guidelines/procedures.
Qualification
Required
Bachelor's degree preferred
2+ years of Project Management experience
Proficiency in all Microsoft Office Programs: Word, PowerPoint, Excel, Access, etc.
Experience with meeting and conference planning preferred
Organization across multiple departments to meet deadlines
Experience writing high visibility correspondence preferred
Multitasking skills
Capacity to maintain confidentiality and work independently in support of the department
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
