Job Details

Associate Director Technology Solutions - Medicaid

Company name
Humana Inc.

Location
Ridgeland, MS, United States

Employment Type
Full-Time

Industry
Manager, Insurance, Healthcare

Posted on
Apr 14, 2023

Apply for this job






Profile

Description

Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate with a fun and close-knit team that embraces challenge and change.'

The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate Director, Technology Solutions requires a solid understanding of how organization capabilities interrelate across department(s).

Responsibilities

The Associate Director, Technology Solutions acts as a liaison and collaborates with the business and functional stakeholders to identify and deliver strategic enablement solutions. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.

The Medicaid Encounter Associate Director will work across multiple partner teams to enable their team to drive products from design completion to production release and monitoring. This role is accountable for the management of the Medicaid Encounter and Automation teams which includes oversight of the interfaces into and out of our Encounter platform. This role will set the Encounter IT strategy for new Medicaid state implementations and existing business including upgrade and rule recommendations.

Required Qualifications

Bachelor's Degree or 6 or more years of technical experience and/or vendor management experience

3 or more years of management experience

Experience in Encounter Data Creation and Submissions

Experience with the technologies in use in the application(s) or infrastructure

Experience with EDI interfaces

Solid understanding of operations, technology, communications and processes

Possess 10 years of progressive experience leading continuous improvement efforts, evaluating existing systems and implementing process improvements.

Excellent communication skills with the ability to collaborate and communicate effectively across varying levels of the enterprise

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

Preferred Qualifications

Master's degree

3-5 years of Health insurance experience or Medicaid experience

Demonstrated ability running large-scale projects

Experience with technology solutions assessments and/or strategy planning oversight

Additional Information

Why Humana?

At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:

Work-Life Balance

Generous PTO package

Health benefits effective day 1

Annual Incentive Plan

401K - Company match

Well-being program

Paid Volunteer Time Off

Student Loan Refinancing

If you share our passion for helping people, we likely have the right place for you at Humana!

Work-At-Home Requirements

To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

Satellite, cellular and microwave connection can be used only if approved by leadership

Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI/ HIPAA information.

Interview Format :

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first-round interview, you will receive an email/text correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews.

Social Security Task

Alert : Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information to the application at Humana's secure website.

At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.

After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what's happening around our organization in the changing world of healthcare.

This is a remote position.

#LI-Remote

#LI-CB2

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

Similar Jobs:
Corporate Strategist
Location : Ridgeland, MS
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, ...
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management...
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Manage...
What I liked about the service is that it had such a comprehensive collection of jobs! I was using a number of sites previously and this took up so much time, but in joining EmploymentCrossing, I was able to stop going from site to site and was able to find everything I needed on EmploymentCrossing.
John Elstner - Baltimore, MD
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
HealthcareCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
HealthcareCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 HealthcareCrossing - All rights reserved. 21 192