Director, Provider Education
00918 San Juan, Puerto Rico
Humana
Posted 1 day ago
Job Viewed
Job Description
**Become a part of our caring community and help us put health first**
The Director, Provider Education develops and leads initiatives, strategies, and processes focused on enhancing provider knowledge of Medicare and Medicaid quality and risk-adjustment programs. They help ensure success in these programs by working in close collaboration with regional market teams. The Director, Provider Education is a key leader on the Provider Support Team within the Healthcare Quality Reporting and Improvement organization. They report to the National Medical Director and lead a diverse team driving education strategy and execution.
The Director, Provider Education drives success in risk adjustment and Stars by innovating and executing provider-education focused initiatives and activities. They oversee the development and training around associated provider programs and educational resources. They analyze data and practice trends to identify the greatest education opportunities. They support provider-facing presentations and education materials. They lead innovations in education delivery including market optimization technological solutions, novel education vehicles, and appropriate engagements with solutions partners. They help support compliance with continuing medical education requirements for physician-focused education, and continuing education unit requirements for medical coders. They have close engagement with legal and compliance teams to ensure all efforts meet regulatory requirements. They oversee a diverse and evolving team and have the ability to lead through change. They work independently and autonomously with minimal need for direct oversight. They are a strong team-player, engaging leaders and associates across the enterprise to drive success in education outcomes. They independently identify and deliver on goals and performance metrics.
**Leading** : Direct reports for leaders and teammates within the Provider Education Execution and Strategy teams.
**Provider Education Execution Responsibilities:**
· Lead the development of provider education programs focused on Medicare Risk Adjustment and Stars
· Collaborate with Market Associates to drive highest-impact educational opportunities
· Analyze provider and market performance indicators to tailor education interventions
· Lead the creation of provider-facing Webinars and other educational materials
· Support Continuing Medical Education offerings for Medicare Risk Adjustment and Stars
Provider Education Strategy Responsibilities:
· Oversee the development and execution of provider education enhancements
· Lead Market Coding Education optimization programs
· Strategize new provider education channels (e.g. EHR integration, videos, just-in-time trainings, etc.)
· Integrate education offerings across HQRI-wide priorities and innovations
Medical Director Support Responsibilities:
· Work autonomously, providing leadership and operational direction to the Provider Education Team
· Be the leader and primary point of contact for provider education initiatives
· Support the development of associates on the Education team and fulfill day-to-day leadership responsibilities
· Engage the Medical Director whenever additional leadership or clinical support is needed
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ 5 or more years of management experience with proven skills leading an evolving team
+ Familiarity and experience educating providers in Value Based Care principles, including Medicare Risk Adjustment & Stars
+ Ability to work and lead independently with minimal oversight
+ Experience working with and supporting initiatives under the direction of senior leadership
+ Experience developing and implementing novel strategies, pilots, or projects
+ Ability to manage multiple or competing priorities and work in a fast-paced environment with changing priorities
+ Strong knowledge of Microsoft Office XP products (Word, Excel, Access)
+ Excellent communication skills both oral and written
+ Proficiency in analyzing and interpreting data trends and continuous quality improvement process
**Preferred Qualifications**
+ Master's Degree (MBA or similar)
+ Coding certification (CPC or equivalent) or ability to obtain if requested
+ Familiarity and experience with health data interoperability
**Additional Information**
Location: Remote with up to 10% travel
**_Hirevue Statement_**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**Work at Home Guidance**
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**SSN Alert Statement**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from with instructions on how to add the information into your official application.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$138,900 - $191,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline:
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
The Director, Provider Education develops and leads initiatives, strategies, and processes focused on enhancing provider knowledge of Medicare and Medicaid quality and risk-adjustment programs. They help ensure success in these programs by working in close collaboration with regional market teams. The Director, Provider Education is a key leader on the Provider Support Team within the Healthcare Quality Reporting and Improvement organization. They report to the National Medical Director and lead a diverse team driving education strategy and execution.
The Director, Provider Education drives success in risk adjustment and Stars by innovating and executing provider-education focused initiatives and activities. They oversee the development and training around associated provider programs and educational resources. They analyze data and practice trends to identify the greatest education opportunities. They support provider-facing presentations and education materials. They lead innovations in education delivery including market optimization technological solutions, novel education vehicles, and appropriate engagements with solutions partners. They help support compliance with continuing medical education requirements for physician-focused education, and continuing education unit requirements for medical coders. They have close engagement with legal and compliance teams to ensure all efforts meet regulatory requirements. They oversee a diverse and evolving team and have the ability to lead through change. They work independently and autonomously with minimal need for direct oversight. They are a strong team-player, engaging leaders and associates across the enterprise to drive success in education outcomes. They independently identify and deliver on goals and performance metrics.
**Leading** : Direct reports for leaders and teammates within the Provider Education Execution and Strategy teams.
**Provider Education Execution Responsibilities:**
· Lead the development of provider education programs focused on Medicare Risk Adjustment and Stars
· Collaborate with Market Associates to drive highest-impact educational opportunities
· Analyze provider and market performance indicators to tailor education interventions
· Lead the creation of provider-facing Webinars and other educational materials
· Support Continuing Medical Education offerings for Medicare Risk Adjustment and Stars
Provider Education Strategy Responsibilities:
· Oversee the development and execution of provider education enhancements
· Lead Market Coding Education optimization programs
· Strategize new provider education channels (e.g. EHR integration, videos, just-in-time trainings, etc.)
· Integrate education offerings across HQRI-wide priorities and innovations
Medical Director Support Responsibilities:
· Work autonomously, providing leadership and operational direction to the Provider Education Team
· Be the leader and primary point of contact for provider education initiatives
· Support the development of associates on the Education team and fulfill day-to-day leadership responsibilities
· Engage the Medical Director whenever additional leadership or clinical support is needed
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ 5 or more years of management experience with proven skills leading an evolving team
+ Familiarity and experience educating providers in Value Based Care principles, including Medicare Risk Adjustment & Stars
+ Ability to work and lead independently with minimal oversight
+ Experience working with and supporting initiatives under the direction of senior leadership
+ Experience developing and implementing novel strategies, pilots, or projects
+ Ability to manage multiple or competing priorities and work in a fast-paced environment with changing priorities
+ Strong knowledge of Microsoft Office XP products (Word, Excel, Access)
+ Excellent communication skills both oral and written
+ Proficiency in analyzing and interpreting data trends and continuous quality improvement process
**Preferred Qualifications**
+ Master's Degree (MBA or similar)
+ Coding certification (CPC or equivalent) or ability to obtain if requested
+ Familiarity and experience with health data interoperability
**Additional Information**
Location: Remote with up to 10% travel
**_Hirevue Statement_**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**Work at Home Guidance**
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**SSN Alert Statement**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from with instructions on how to add the information into your official application.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$138,900 - $191,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline:
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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0
NA Sales Representative, Data Platform - Government and Education (Los Angeles)
00918 San Juan, Puerto Rico
Oracle
Posted 15 days ago
Job Viewed
Job Description
**Job Description**
**Cloud Data Platform Sales Representative, Government and Education - Los Angeles** **Overview**
Are you a creative person who loves a challenge? Solve the complex puzzles you've been dreaming of as our Cloud Data Platform Sales Executive. If you have a passion for innovation in tech, we want you on our team! Thrive in this crucial role.
Oracle is a technology leader that's changing how the world does business. We're looking for an experienced and self-motivated person. We appreciate you taking the time to review the list of qualifications and to apply for the position. Come and join us!
This position is responsible for new account development and/or growing existing accounts within an established geographic or named account territory, specifically for State & Local Government.
**Detailed Description:**
A Cloud Data Platform Sales Rep works to identify, qualify, and deliver Oracle's end-to-end cloud products and solutions across PaaS pillar via private or public cloud.
+ Responsible for the account plan to drive goal attainment in assigned territory.
+ Coordinates with the other members of the sales team (employees and partners) to support account sales and business development strategies.
+ Helps identify and engage the appropriate partner to meet customer specifications.
+ Becomes trusted advisor to key customer influencers and decision makers. Drives company strategy into assigned accounts.
+ Follows all companies' methodologies and processes related to sales opportunity pursuit.
+ Ensures that the company's sales programs are known and completed in assigned territory, including personal follow-up and engagement in selected opportunities.
+ Achieves or exceeds the quarterly and annual sales goals for both cloud solutions and their respective on-prem solutions. May travel frequently
**Sales Portfolio:**
Platform as a Service (PaaS) - Oracle Cloud Platform as a Service (PaaS) helps enterprise IT and independent software vendor (ISV) developers rapidly build and deploy rich applications - or extend Oracle Cloud SaaS apps - using an enterprise-grade cloud platform based on Oracle's data.
**Responsibilities**
+ Responsible for the account plan to drive goal attainment in assigned territory.
+ Coordinates with the other members of the sales team (employees and partners) to support account sales and business development strategies.
+ Helps identify and engage the appropriate partner to meet customer specifications.
+ Becomes trusted advisor to key customer influencers and decision makers. Drives company strategy into assigned accounts.
+ Follows all companies' methodologies and processes related to sales opportunity pursuit.
+ Ensures that the company's sales programs are known and completed in assigned territory, including personal follow-up and engagement in selected opportunities.
+ Achieves or exceeds the quarterly and annual sales goals for both cloud solutions and their respective on-prem solutions. May travel frequently
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $97,800 to $185,100 per annum. May be eligible for equity. Eligible for commission with an estimated pay mix of 45/55.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
**Cloud Data Platform Sales Representative, Government and Education - Los Angeles** **Overview**
Are you a creative person who loves a challenge? Solve the complex puzzles you've been dreaming of as our Cloud Data Platform Sales Executive. If you have a passion for innovation in tech, we want you on our team! Thrive in this crucial role.
Oracle is a technology leader that's changing how the world does business. We're looking for an experienced and self-motivated person. We appreciate you taking the time to review the list of qualifications and to apply for the position. Come and join us!
This position is responsible for new account development and/or growing existing accounts within an established geographic or named account territory, specifically for State & Local Government.
**Detailed Description:**
A Cloud Data Platform Sales Rep works to identify, qualify, and deliver Oracle's end-to-end cloud products and solutions across PaaS pillar via private or public cloud.
+ Responsible for the account plan to drive goal attainment in assigned territory.
+ Coordinates with the other members of the sales team (employees and partners) to support account sales and business development strategies.
+ Helps identify and engage the appropriate partner to meet customer specifications.
+ Becomes trusted advisor to key customer influencers and decision makers. Drives company strategy into assigned accounts.
+ Follows all companies' methodologies and processes related to sales opportunity pursuit.
+ Ensures that the company's sales programs are known and completed in assigned territory, including personal follow-up and engagement in selected opportunities.
+ Achieves or exceeds the quarterly and annual sales goals for both cloud solutions and their respective on-prem solutions. May travel frequently
**Sales Portfolio:**
Platform as a Service (PaaS) - Oracle Cloud Platform as a Service (PaaS) helps enterprise IT and independent software vendor (ISV) developers rapidly build and deploy rich applications - or extend Oracle Cloud SaaS apps - using an enterprise-grade cloud platform based on Oracle's data.
**Responsibilities**
+ Responsible for the account plan to drive goal attainment in assigned territory.
+ Coordinates with the other members of the sales team (employees and partners) to support account sales and business development strategies.
+ Helps identify and engage the appropriate partner to meet customer specifications.
+ Becomes trusted advisor to key customer influencers and decision makers. Drives company strategy into assigned accounts.
+ Follows all companies' methodologies and processes related to sales opportunity pursuit.
+ Ensures that the company's sales programs are known and completed in assigned territory, including personal follow-up and engagement in selected opportunities.
+ Achieves or exceeds the quarterly and annual sales goals for both cloud solutions and their respective on-prem solutions. May travel frequently
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $97,800 to $185,100 per annum. May be eligible for equity. Eligible for commission with an estimated pay mix of 45/55.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
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