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Job Details

Director Medicaid Strategic Solutions

Location
Cincinnati, OH, United States

Posted on
Oct 29, 2022

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Job Information
Humana
Director, Medicaid Strategic Solutions
in
Cincinnati
Ohio
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.
Responsibilities
Medicaid Strategic Solutions
team purpose is to accelerate the ideation and development of transformational initiatives that maximize customer value to create a differentiated value proposition for Humana's Medicaid segment. As a centrally positioned strategic function this team coordinates with Medicaid executive leadership to manage an innovation portfolio tailored to capture business objectives. This team collaborates with business units across the enterprise to set actionable strategy and support transformational initiatives through ideation, concept development to launch. 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 available resources to achieve growth
The Director,
Medicaid Strategic Solutions
is an experienced health care strategist with responsibility for consulting with executive leadership to synthesize the marketplace, identify white space opportunities, build actionable strategies, and drive development of transformational initiatives.
Candidates will possess broad Medicaid Managed Care expertise, possess working knowledge of contemporary healthcare technologies and have a proven track record of bringing new products to market in an agile environment.
Key responsibilities include:
Construct and oversee an innovation portfolio to capture strategic objectives in keeping with risk appetite and available resources
Conduct analysis to identify and prioritize white space opportunities that will generate a differentiated value proposition for Humana Medicaid products
Influence executive leadership to pursue new opportunities through strong analysis, business case development and strategy articulation
Form collaborative working relationships with Humana corporate strategy partners such as Digital, Population Health, Care Delivery to inform cross enterprise initiatives
Lead cross-functional teams to develop integrated solutions that solve for complex problems with high-impact on the Medicaid segment
Support work through initial phases of the product lifecycle, from strategy creation through to product ideation, concept development and launch
Support development of team culture and adoption of innovative, agile methodologies across the broader Medicaid segment
Required Qualifications
Bachelor's Degree with a strong record of academic achievement
8 years healthcare experience
8 years of progressively responsible professional experience in strategic/advisory services
5 years leadership experience
Experience and understanding of healthcare data and analytics, contemporary technologies, managed care administrative functions and care delivery models
Adept at quantitative and qualitative research
Excellent verbal and written communication skills
Experience in executive presentation and communication
Ability to operate in a faced paced environment under tight deadlines
Flexible scheduling (i.e. - occasional nights and weekends
We will require full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.
If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 weeks prior to your scheduled first day of work.
Preferred Qualifications
MBA programs with a specialization in Healthcare Management
Master's Degree in Public Health programs
Experience at a leading strategy consulting firm
Medicaid managed care experience
Project Management and Process Improvement qualifications
Additional Information
Role will include travel (10-25% of time)
Remote Central or Eastern time strongly preferred.
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 ****

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