Student Veterans of America Jobs

Welcome to SVA’s jobs portal, your one-stop shop for finding the most up to date source of employment opportunities. We have partnered with the National Labor Exchange to provide you this information. You may be looking for part-time employment to supplement your income while you are in school. You might be looking for an internship to add experience to your resume. And you may be completing your training ready to start a new career. This site has all of those types of jobs.

Here are a few things you should know:
  • This site is mobile friendly. You do not need a log-in or password to access information.
  • Jobs on this site are original and unduplicated and come from three sources: the Federal government, state workforce agency job banks, and corporate career websites. All jobs are vetted to ensure there are no scams, training schemes, or phishing.
  • The site is refreshed daily to remove out-of-date content.
  • The newest jobs are listed first, so use the search features to match your interests. You can look for jobs in a specific geographical location, by title or keyword, or you can use the military crosswalk. You may want to do something different from your military career, but you undoubtedly have skills from that occupation that match to a civilian job.
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Job Information

Humana Senior Provider Engagement, Clinical Professional in Brentwood, Tennessee

Description

The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Senior Provider Engagement, Clinical Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Provider Engagement, Clinical Professional represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. This work focuses on areas of clinical emphasis. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, andwork is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

  • Bachelors or Associates Degree in Nursing

  • Registered Nurse license unrestricted in the state of Tennessee, Alabama or Virginia

  • 5+ years clinical work experience as an RN

  • Excellent communication and organizational skills

  • Ability to work independently

  • Self-motivated

  • Working knowledge of Microsoft Office: Word, Excel, PowerPoint

Preferred Qualifications

  • 3-5 years of managed care experience

  • 3-5 years of case management experience

  • Knowledge of HEDIS measures

  • Experience with CMS Medicare Advantage Star Ratings program

Additional Information

  • This position is virtual and work at home

  • Must be comfortable communicating virtually with providers and members

  • Ideal candidate will reside in Tennessee, Alabama or southwest Virginia and have the ability to travel to Knoxville, TN for mandatory meetings

Scheduled Weekly Hours

40

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