Senior RN Wellness Program Professional
Humana

Job Info

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Description

The Senior Wellness Program Professional responsible for educating and motivating clients/employers to participate in the wellness program. The Senior Wellness Program 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

This associates primary responsibilities include:

• This role will interact with peers, client and consultants along with members of the client
• Provides support and education regarding Humana's wellness programs.
• Promote and attend health screenings as an on-site leader of "Wellbeing Champs" and wellbeing/health improvement initiatives in coordination with Humana's Consumer Experience Professional; responsible for promoting engagement on all campuses, ensuring follow through and implementation of initiatives, and tracking feedback and outcomes of wellbeing strategies.
• Provides general health and preventive screening education and resources.
• Assists members with coordination of care issues both inpatient and outpatient.
• Assisting members to identify and utilize appropriate Humana clinical programs, coordinates with the Client Executive. Promotion and education of all Humana programs available for members.
• Utilizes account specific data to recommend "wellness" classes / initiatives.
• Tracks and trends members with high utilization working with CE and RMD on alternative benefits / ways to increase participation within the programs. (Document all concerns/complaints on eligibility, claims, provider, and miscellaneous issues, and provide a quarterly report to the Client. Meet with the benefits manager bi-weekly to provide status update. If the meeting is cancelled, the weekly log should still be submitted.)
• Collaborates with RMD, corporate teams to deep dive on trend and clinical strategies.
• Strong interpersonal, communications, and presentation skills for group settings as well as one on one meetings.
• Lead and attend meetings as required to assist with open enrollment, health fairs, benefit briefings, etc.
• Assists members with plan coverage, provider issues, eligibility and claim issues and provides monthly reporting to the Client to summarize issues
• Meets with the Benefits manager on a regular basis to provide status updates
• This associate will make decisions in regards to wellness initiatives, based on group data

Required Qualifications

• Bachelor's Degree or equivalent work experience
• 5 or more years of technical experience
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• RN License for State of Florida
• WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.
• Will require daily travel into the campus of Hillsborough Community College to work onsite

Preferred Qualifications

• BSN degree
• Clinical Audit experience
• Humana Systems knowledge

Scheduled Weekly Hours

40

This job has expired.