Provider Invoicing amp Payment Lead CCM

Profile

Description

Humana's Claims Cost Management (CCM) Organization is looking for a Provider Invoicing & Payment Lead to lead the Vendor, Provider Invoicing team working from home. The Provider Invoicing & Payment Lead (also known as a Financial Planning & Analysis Lead) will lead a team of 4 professionals and indirectly lead an offshore team of approximately 14. The Vendor, Provider Invoicing team manages the timely and accurate processing of medical record payments to Humana providers and vendor partners.

Responsibilities

As the Provider Invoicing & Payment Lead you will manage the timely and accurate processing of medical record payments to Humana providers and vendor partners.

Key Responsibilities

Collect, compile, verify and analyze financial payment information so that management has accurate and timely information for making strategic and operational decisions

Analyze expenses, costs and may involve reporting and budgeting for relevant providers and vendor expenses

Advise leaders to develop functional strategies (often segment specific) on matters of significance

Lead and develop team of 4 direct reports consisting of 2 Senior Professionals and 2 Professional 2's as well as indirect oversite of approximately 14 offshore vendor associates

Lead the coordination of medical records payments to vendors and providers including reconciliation between subsidiary ledgers Determine areas for automation opportunities and process improvements

Required Qualifications

Bachelor's degree in finance, accounting or related field

6 years of finance, accounting and/or similar experience

Previous experience leading or managing projects

Experience advising senior leadership on financial strategies

Prior experience developing methods and criteria for measuring and summarizing data for complex analysis

Ability to lead and manage special projects that may necessitate cross-functional partnerships

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Work at Home/Remote Requirements

Must ensure designated work area is free from distractions during work hours and virtual meetings

Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Preferred Qualifications

Prior leadership

Previous experience/exposure to vendor management or support

Master's Degree in Business Administration or a CPA strongly preferred Prior health insurance industry experience working in Finance/Accounting

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com