Director, Medicaid Strategic Solutions

Company: Humana Inc
Location: Kent
Posted on: November 17, 2022

Job Description:

DescriptionHumana 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.ResponsibilitiesMedicaid 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 growthThe 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 segmentRequired 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 qualificationsAdditional Information
        • Role will include travel (10-25% of time)
        • Remote Central or Eastern time strongly preferred.Scheduled Weekly Hours40

Keywords: Humana Inc, Kent , Director, Medicaid Strategic Solutions, Executive , Kent, Washington