Become a part of our caring community and help us put health first
 

The Senior Care Management Support Professional (PDACS) supports the Participant-Directed Attendant Care Services process which empowers Members, or their representatives, to manage their own personal attendant care.

• Engage and educate internal and external stakeholders about the concepts of PDACS and what is required to successfully develop and deliver service within the paradigm
• Analyze, monitor and provide periodic reports on the utilization of PDACS. Utilize the data to inform strategies and future work.
• Assist in developing, implementing and evaluating internal policies, procedures and guidelines for services
• Support Care and Service Coordination by informing of approved or denied service workers and collaborate as needed
• Follow up on any referrals pending action
• Supports investigation, closure and data sharing for grievances & appeals, quality of care, and FSSA escalations
• Tracks and trends member dis-enrollments and assist with member transition between MCEs
• Support and participate JOC meetings quarterly
• Complete state mandated reporting as required
• Partner with market training to provide content for ongoing training, education and hands-on learning opportunities to partners, all levels of member support management, and other divisions to support the development of organizational competencies
• Facilitate a cycle of continuous improvement to assess and address performance gaps in utilization of PDACS
• Potential for travel within the state of Indiana

Use your skills to make an impact
 

Required Qualifications   

• Must Reside in Indiana
• Bachelor's degree in healthcare, public administration, nursing, social work or other related field or equivalent education and experience
• 3+ years of technical and/or business project management experience
• Technical experience with Microsoft, Word, Excel, Outlook, knowledge of Microsoft Word, Excel and Outlook
• Understanding of and strategic thinking and business planning capabilities; organized and detail-oriented
• Excellent written and verbal communication skills

Preferred Qualifications

• Experience in Health Plan Operations, Healthcare, or Long-Term Care business systems
• Six Sigma and/or Project Management Institute certification
• Experience working with Medicaid and/or Medicare Plans and consumer directed services

Additional Information

Work-At-Home Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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
Employees 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 employees 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

HireVue

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.

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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

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.

 

$69,800 - $96,200 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 compe