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Associate Director, Medicaid Implementation Lead

1 month ago

Boise, Idaho, United States Humana Full time
About the Role

Humana is seeking an experienced Associate Director to lead our Medicaid Implementation efforts. As a key member of our team, you will be responsible for overseeing the development of solutions to non-standard contractual requirements and local needs of each Medicaid market.

Key Responsibilities
  • Lead a team of program managers supporting new Medicaid state contract implementations.
  • Coach and mentor associates to promote growth and development.
  • Develop an implementation playbook to ensure consistency in applying implementation practices.
  • Promote team brand strategy.
  • Establish and maintain order around evolving implementation model, ensuring resources and understanding priorities to meet project targets and milestones.
  • Collaborate with leadership to define operational strategies to ensure Humana success.
  • Coordinate across all operational areas to work through operational issues and strategies to respond to state priorities and changing landscape.
  • Organize and lead teams through the project life cycle, from kick-off to project launch.
  • Drive coordination between internal and external Humana stakeholders, the state, and state partners to ensure the Humana team has clarity regarding information and requirements to meet state expectations.
  • Identify and solve problems that impact the management and direction of the business.
  • Plan, organize, monitor, and oversee complex network implementations utilizing matrixed and cross-functional teams to deliver defined requirements and meet company strategic objectives.
  • Engage in all new market implementations, including understanding contract provisions, to support and guide team members on priorities and help them manage risks and escalations.
Requirements
  • Must reside in the eastern or central standard time zones in the United States.
  • Bachelor's degree or 6 years of relevant work experience.
  • 6+ years of Business Project Management experience working with large-size initiatives.
  • 5+ years of direct management and leadership experience.
  • 2+ years of experience in Change Management.
  • 3+ years working in a managed care healthcare system or health plan.
  • Experience working in Medicaid and/or Medicare.
Preferred Qualifications
  • Experience using Smartsheet.
  • Experience in business operations or consulting services in a health plan.
  • Possess a solid understanding of operations, technology, communications, and processes.
  • Experience in the clinical healthcare space, such as utilization management, pharmacy, care management, behavioral health.
  • Proficiency in Microsoft Office programs.
  • Experience working in Medicaid implementation.
  • Prosci, Six Sigma, and/or Project Management Institute certifications.
Work Arrangements
  • 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.
  • 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.
About Humana

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status, and to base all employment decisions only on valid job requirements.