Associate Director, Medicaid Provider Services

2 days ago


Raleigh, North Carolina, United States Humana Full time
Job Title: Associate Director, Medicaid Provider Services

Humana is seeking an experienced Associate Director to lead our Medicaid Provider Services team. As a key member of our Corporate Medicaid segment, you will be responsible for developing and implementing strategies to improve provider relations and network management.

Key Responsibilities:
  • Lead a dynamic team responsible for developing and enhancing Humana Medicaid's standard Provider Support strategy
  • Oversee the strategic development, delivery, and ongoing refinement of Humana Medicaid Provider Support Model
  • Drive development of operational processes, trainings, and KPIs to execute on the Medicaid Provider Relationship Management model
  • Develop and implement various standards, resources, tools, and best practices sharing across the organization
  • Accountable for team's effective and timely implementation of provider services business functions in new Medicaid markets
Requirements:
  • 6+ years of progressive leadership experience with the ability to stand up and lead a new team
  • 9+ years of experience in provider relations and network development at a health plan
  • Experience and understanding of Medicaid
  • Experience with defining strategic priorities and plans to execute on those priorities
  • Proven expertise in driving operational efficiencies and management of timelines and processes
Benefits:

Humana offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, and many other opportunities.

As a Humana associate, you will have access to a range of benefits and programs designed to support your well-being and career development.



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