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Senior Strategy Advancement Professional (Medicaid Business

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Job Details
Job Order Number
JC142502485
Company Name
Humana
Physical Address

Dover, DE 19904
Job Description

Description

The Senior Strategy Advancement Professional 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 Senior Strategy Advancement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Strategy Advancement Professional leads initiatives to analyze complex business problems and issues using data from internal and external sources. Brings expertise or identifies subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans based on company and external data analysis. Ensures that policies and procedures align with corporate vision. Selects, develops, and evaluates personnel ensuring efficient operation of the function. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Role Responsibilities:

+ Lead market and regulatory landscape analysis in prospective new markets to inform Medicaid growth strategy.

+ Develop materials for internal and external presentations and communications regarding Humana’s business goals, market strategy, policy, positioning, and outcomes in the Medicaid and Dual Eligible marketplace.

+ Coordinate business partners and collaborate with Medicaid and Medicare leadership to develop, maintain, and support execution of market-specific growth strategies.

+ Develop strategies to exceed regulatory requirements and successfully position Humana’s Medicaid/LTSS/Duals products in the marketplace.

+ Attend professional conferences to enhance knowledge and understanding.

+ Engage in stakeholder and provider/association level relationship development meetings in current and prospective new markets.

+ Translate state administrative code language and procurement requirements to understand states’ long-term goals.

+ Oversee project plans, project schedules, resource assignment matrixes, etc. at the outset of each bid.

+ Drive timely completion of internal/external deliverables by cross functional project team.

+ Track project status and report on progress to leadership.

Required Qualifications

+ Bachelor’s Degree

+ 1 – 3 years’ experience in a Medicaid or Medicare Managed Care Organization

+ 1 – 3 years’ experience leading projects & cross functional teams

+ 1 – 3 years’ consulting experience

+ Comprehensive knowledge of Microsoft Office Products (Word, Excel, PowerPoint, Visio)

+ Ability to operate in a faced paced environment under tight deadlines

+ Flexible scheduling (i.e. – occasional nights and weekends)

Preferred Qualifications

+ Master’s Degree (MBA or MPH preferred)

+ 3 – 5 years’ experience in Medicare/Medicaid Strategy or Business Development

+ Project Management and Process Improvement qualifications

Additional Information

•Schedule: M-F 8:30-5:30pm. Peak periods: some evenings and weekend work

•Training: No formal training program/timeline

•Address: Preferably Louisville (101 S. 5th St.), open to consider strong candidates nationwide to WAH

•Travel: 10% -20%

•Direct Reports: n/a

Scheduled Weekly Hours

40

About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms -when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request.


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