Senior Medicaid Capture Management Professional - Health

Profile

Description

Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy & Optimization Organization in order to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a unique opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves.

The Medicaid Capture Management team's purpose is to successfully position Humana to capture growth opportunities enabling the future of Humana's Medicaid business. As a centrally positioned strategic function this team coordinates with growth partners across the enterprise and industry to accelerate product strategy and define the operating model for new markets. We deliver value through detailed research, data-driven insights, strategic planning, structured problem solving, and project management rigor.

We are a diverse set of highly skilled people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals we empower associates to pioneer simplicity, rethink routine and seek talent with the following attributes

Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem solving.

Adaptive - Rapidly learn new knowledge, skills and behaviors in response to changing circumstances

Self-sufficient - Ability to navigate complex situations and independently produce high quality deliverables

Consultative - Build/sustain relationships and inform the work of others through actionable, objective insights

Strategic - Forward thinking capable of providing frameworks to maximize ability of limited resources to achieve growth

Responsibilities

The Senior Medicaid Capture Management Professional - Health provides business intelligence and advises leadership to develop functional strategies that enable Medicaid growth opportunities. This highly talented individual will consult to inform strategy and coordinate cross-functional groups of growth partners to optimize Humana's portfolio of Medicaid population health and clinical products to address local health priorities and capture new business. The Senior Professional will exercise independent judgement and decision making on complex issues regarding job duties and be able to work under minimal supervision to produce high quality deliverables.

Required Qualifications

Bachelor's Degree with a strong record of academic achievement

2 years' applicable experience in government healthcare programs

2 years experience coordinating medium to large scale projects and cross-functional teams

Expertise in population health and familiarity with managed care clinical operations and quality

Strategic and creative thinker with ability to translate strategies, market knowledge, data and customer insights into actions/requirements/implementation

Adept at quantitative and qualitative research to make informed recommendations

Excellent verbal and written communication skills to convey complex concepts with clarity

Ability to work in a dynamic business environment balancing competing deadlines

Advanced user of productivity and collaboration software

Flexible scheduling (i.e. - occasional nights and weekends)

Preferred Qualifications

Master's Degree (Public Health, MBA)

Experience in responding to state and/or federal government solicitations

Experience in community engagement and organizing

Project Management and Process Improvement qualifications

Additional Information

Role will include travel (10-25% of time)

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

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