Manager Community Management - Louisiana Medicaid

Profile

Description

Humana Healthy Horizons in Louisiana is seeking a Manager, Community Management who will work to reduce health disparities and promotes health equity and population health. The Manager, Community Management is responsible for the vision, strategy, and execution of partnerships and programs to address social determinants of health (SDOH) and advance health equity for the state of Louisiana and its Medicaid beneficiaries. They will build and maintain relationships with the Louisiana Office of Public Health, local community-based organizations (CBO), providers, advocacy groups, and other key stakeholders throughout Louisiana to engage communities, address health disparities, and improve population health. The role requires cross-departmental collaboration and will be based in Louisiana.

Responsibilities

The Manager, Community Management participates in and supports the Louisiana Medicaid Market team's efforts to reduce health disparities, address population health, and achieve health equity. The Manager, Community Management will play a critical role in helping to identify disparities in health care access, service provision, satisfaction, and outcomes.

Primary responsibilities include:

Supports the implementation and evaluation of the Health Equity and Population Health Strategy for the Louisiana Medicaid Market by working collaboratively across the Louisiana Medicaid Market team.

Establishes relationships and actively engages with communities and community-based entities to inform and address health equity and population health issues at the local, regional, and state level.

Prioritizes health equity and population health in all decision-making (policies, practices, operations).

Supports core strategies that include authentic community engagement, using data and research to inform practices, ongoing community engagement, and seeking feedback from Enrollee, Provider, and Community Advisory Groups to inform the development and delivery of programs and services that eliminate health disparities and promote population health.

Manages Regional Community Management Team and works collaboratively to develop and execute engagement activities in priority communities.

Attends or ensures MCO attendance at community events in priority communities.

Collaborates with other Regional Coordinators to collectively strategize and address community concerns.

Coordinates the tracking and submission of process measures related to health equity and population health efforts in communities.

Promotes the referral of members to community-based organizations when services are provided that will promote better health outcomes.

Ensures compliance with state and federal regulations, contractual obligations, and other requirements.

Required Qualifications

Must reside in the state of Louisiana.

Bachelor's Degree in Public Health, Business, Healthcare Administration, Communications or related field with five (5) or more years of related experience.

Two (2) or more years of leadership experience.

Working knowledge regarding health equity and population health.

Strong ties to local stakeholders and CBOs focusing on SDOH, health equity, and population health.

Ability to communicate effectively to senior and executive leadership, team members, and with the community.

Experience working with cross-functional teams and translating requirements between business, project management and community projects or programs.

Experience with cross-system collaboration and coordination, data collection and data analysis.

Committed to improving the health of Louisianans and reducing health disparities.

Ability to travel statewide in the Louisiana.

This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

This role is a part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Must have the ability to provide a high speed DSL or cable modem for a home office.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Preferred Qualifications

Knowledge of person-centered initiatives and comprehensive care coordination procedures.

Management and leadership experience in supporting Medicaid health plans and/or underserved populations.

Familiarity with Louisiana geography and culture.

Master's degree in Public Health Administration, Public Policy, Communications, Business or related field.

Additional Information.

Workstyle: Hybrid Office - 3 - 4 days/week working in Humana's Metairie's location and 1 -2 remotely.

Travel: Up to 75% , statewide in Louisiana and possible travel outside of the state.

Direct Reports: Up to 6.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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