Market Development Professional 2

Profile

Description

The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Market Development Professional 2 serves as the primary resource on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding corporate Medicare/Medicaid/TRICARE performance benchmarks. Maintains relationships with regulators within a region. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications

Bachelor's degree

3 - 5 years prior experience working with Providers in a fast-paced insurance or health care setting

Excellent communication skills, both oral and written

Experience implementing and measuring success on complex health-related initiatives and pilots

Strategic thinker with ability to work independently

Strong relationship building skills

Strong analytical skills

Process-focused, with ability to leverage and enhance existing processes

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Ability to self-manage

10-15% travel within Illinois territory once restrictions are lifted

Proficiency with MS Office programs including Excel

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 of 10x1 (10mbs download x 1mbs upload) is required.

A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

Knowledge of Humana's internal policies, procedures and systems

Master's Degree in Business, Public Health or related field

Experience with CRM

Medicare / Medicaid / TRICARE experience/background

Experience with LTSS

Additional Information

Must reside in Illinois for this role

Scheduled Weekly Hours

40

Company info

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