Strategy Advancement Advisor Medicaid Unit Cost

Profile

Description

The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Strategy Advancement Advisor (Medicaid Unit Cost) leads initiatives to analyze complex business problems and issues related to Medicaid reimbursement. Will perform a variety of reimbursement tasks for new Medicaid states including researching and documenting reimbursement methodology, pricing unpriced codes, and looking for trend mitigation opportunities. Ensures that policies and procedures align with overall Medicaid strategy. Advises Medicaid and contracting leadership to develop functional strategies on matters of Medicaid reimbursement. Solves original complex problems with minimal supervision. Leverages prior experience to make independent judgements.

Required Qualifications

Bachelor's Degree

3 or more years of technical experience

2 or more years of project leadership experience

3 or more years of healthcare experience

Preferred Qualifications

Medicaid experience

Legal degree/experience

Work-At-Home Requirements

Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

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

#LI-WG1

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