To perform this job successfully, an individual must be able to satisfactorily perform the essential duties. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
• Graduate from an accredited RN program
• Current, unrestricted FL RN license
• BS in Nursing or other healthcare field
• Masters Degree preferred or demonstrated comparable managerial and executive experience
• Minimum of five years experience in managed care with emphasis in Medicaid and Medicare.
Computer/Software Skills & Abilities
To perform this job successfully, an individual should have knowledge of standard business software, including but not limited to: word processing, spreadsheet software, presentation software, experience with relational database principles and functions, and a basic understanding of claims administration principles is required.
Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or issues. Ability to effectively present information to top management or public groups.
High mathematical skills required. Ability to apply mathematical principles to practical solutions, using fractions, percentages, ratios, and proportions.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Travel locally and in the domestic United States up to 40% of the time
Other Skills & Abilities/Qualifications
Ability to successfully work with various levels of professional and non-professional staff.
Must be able to work independently and as a part of a team.
Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations.
Certificates, Licenses and Registrations
Current unrestricted FL RN License required