Senior Medicaid Education Specialist

2 weeks ago

Augusta, Maine, United States Humana Full time

Join a dedicated community focused on prioritizing health


Humana Healthy Horizons is in search of a Senior Medicaid Education Specialist who will oversee the development of educational resources for Humana's Medicaid division, aiming to enhance the provider experience.

This role involves revising existing content and conducting an annual assessment of training materials related to new state contracts. Additionally, the specialist will spearhead the creation of new resources to support internal processes and market needs, collaborating closely with the Medicaid Provider Education team across various markets.


The Senior Medicaid Education Specialist will operate as an independent contributor, requiring robust content development skills to produce provider materials. Strong interpersonal abilities are essential for effective collaboration across business units, along with exceptional organizational skills.


Key Responsibilities:

  • Develop small to mid-scale provider content initiatives utilizing new learning technologies for training providers in active Medicaid markets.
  • Design and maintain templates to ensure consistency across educational resource guides for providers.
  • Collaborate with various departments to refresh annual educational resources in accordance with state contract requirements, ensuring an optimal provider experience.
  • Conduct regular meetings with project teams to assess their training and educational needs, ensuring alignment with segment strategies.
  • Assist team members in the provider implementation education group with annual document reviews, including peer evaluations and tracking through the internal review process.

Utilize your expertise to create meaningful change

Essential Qualifications


  • Availability to work within the Eastern Standard Time Zone.
  • Bachelor's degree.
  • 3 years of experience in developing provider content for educational resources or training materials.
  • 2 years of project management experience with mid-sized projects.
  • 1 year of experience with learning management systems and/or relevant software.
  • Knowledge of learning design principles with a proven track record of applying these principles to create engaging and accessible training materials for providers.
  • Experience in template design with proficiency in Microsoft Office (Word, PowerPoint, SharePoint, Teams).
  • Strong written and verbal communication skills, along with excellent interpersonal abilities.
  • Outstanding time management skills and the capacity to handle multiple priorities in a dynamic environment.
  • Experience working in a matrixed organization, coordinating efforts across various departments, with a flexible and collaborative approach.
​

Remote Work Requirements

  • A minimum download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; a wired cable or DSL connection is preferred.
  • Satellite, cellular, and microwave connections may only be used with prior approval from leadership.
  • Humana will provide necessary telephone equipment for Home or Hybrid Home/Office associates to meet business requirements.
  • A dedicated workspace free from ongoing interruptions is essential to protect member PHI / HIPAA information.

Preferred Qualifications

  • Experience in project management.
  • Familiarity with Medicaid policies and/or operations, including provider relations, claims processing, utilization management, behavioral health processes, and dispute resolution.

Additional Information


  • Travel: Up to 5%, potentially outside of your home state.



  • Workstyle: Remote, with required hours within the Eastern Time Zone.

  • Core Workdays & Hours: Typically, 8 AM - 5 PM, Monday - Friday; Eastern Standard Time (EST).

  • Benefits: Benefits commence on day one. Full-time associates enjoy competitive compensation and a comprehensive benefits package, including 401k, medical, dental, vision, and various supplemental insurances, tuition assistance, and more.

Interview Process


As part of our hiring process, we will utilize innovative interviewing technology provided by Hire Vue, a third-party vendor.

This technology enhances our recruitment team's decision-making process.

  • Medicaid Eligibility Specialist

    2 weeks ago

    Augusta, Maine, United States Doctors Hospital of Augusta Full time

    Position OverviewSchedule: Monday-Friday 8:00AM-4:30PM, On-siteIntroductionAre you seeking a workplace that champions diversity and inclusion? Join our team at Doctors Hospital of Augusta as a Medicaid Eligibility Advocate and discover the true essence of being part of the HCA Healthcare family.BenefitsAt Doctors Hospital of Augusta, we offer a comprehensive...

  • Education Specialist

    1 day ago

    Augusta, Maine, United States Soliant Full time

    Job Summary:Soliant is seeking a highly motivated and experienced Education Specialist to join our team in Augusta, Georgia. As an Education Specialist, you will be responsible for providing high-quality education to students with special needs.Responsibilities:Develop and implement individualized education plans for students with special needsCollaborate...

  • Senior Bioinformatics Specialist

    1 week ago

    Augusta, Maine, United States InsideHigherEd Full time

    Position: Senior Bioinformatics SpecialistJob Overview: We are seeking a highly skilled and motivated individual to join our team as a Senior Bioinformatics Specialist. This role is pivotal in advancing our research initiatives in immunology and related fields.About the Organization: Our institution is dedicated to pioneering research and education in health...

  • Senior Media Relations Specialist

    2 weeks ago

    Augusta, Maine, United States InsideHigherEd Full time

    Senior Media Relations SpecialistPosition Overview:The Senior Media Relations Specialist plays a pivotal role in enhancing the institutional brand through strategic communication efforts. This position is responsible for fostering connections among faculty, staff, students, and the broader community, aligning messaging with the organization's strategic...

  • Senior Bioinformatics Specialist

    2 weeks ago

    Augusta, Maine, United States InsideHigherEd Full time

    Position: Senior Bioinformatics SpecialistJob Overview: We are seeking a highly skilled Senior Bioinformatics Specialist to join our dynamic team. This role is essential for conducting intricate bioinformatics evaluations of advanced immunological datasets, including but not limited to CyTOF, bulk RNA-seq, CITE-Seq, and scRNA-seq.Key Responsibilities: The...

  • Educational Support Specialist

    2 weeks ago

    Augusta, Maine, United States ProCare Therapy Full time

    Position OverviewJob Summary: A minimum of 1+ years of experience in a paraprofessional or special education role is essential.About Us: ProCare Therapy is seeking dedicated Educational Support Specialists to assist educators and provide support to students with varying educational needs. Join a collaborative environment that promotes effective...

  • Deaf and Hard of Hearing Education Specialist

    3 days ago

    Augusta, Maine, United States Epic Special Education Staffing Full time

    About UsEpic Special Education Staffing is a leading provider of special education staffing solutions. Our team of experts is dedicated to delivering exceptional support to schools and districts across the country.Job DescriptionWe are seeking a highly qualified Deaf and Hard of Hearing Teacher to join our team. As a Deaf and Hard of Hearing Teacher, you...

  • Senior Instrumentation Specialist

    2 days ago

    Augusta, Maine, United States Sargent & Lundy Full time

    Job Summary:We are seeking a highly skilled Senior Instrumentation Specialist to join our team at Sargent & Lundy. As a key member of our Instrumentation and Controls Engineering group, you will be responsible for designing, developing, and implementing instrumentation and controls systems for our nuclear power clients.Key Responsibilities:Design and develop...

  • Educational Support Specialist

    2 weeks ago

    Augusta, Maine, United States Soliant Full time

    Position OverviewWe are seeking a committed Educational Support Specialist to join our team. This role requires a minimum of 1+ years of experience in educational assistance or special education.Job Posting:Educational Support Specialists in Hallowell, ME with Soliant EducationPosition Type: Full-time, 37.5 hours per weekSoliant Education is dedicated to...

  • Geriatric Care Specialist

    2 weeks ago

    Augusta, Maine, United States Woodlands Senior Living Full time

    Job TypeFull-time, Part-timeDescriptionWoodlands Senior Living is a collaborative network of ten establishments dedicated to providing a nurturing environment for over 700 elderly individuals, ensuring they can age with dignity, joy, and comfort, supported by empathetic caregivers. Among these establishments, eight have proudly achieved Joint Commission...

  • Senior Title Specialist

    2 weeks ago

    Augusta, Maine, United States TRC Companies Full time

    About TRC Companies Innovators. Leaders. Visionaries. At TRC, we have consistently raised the standard for clients seeking more than mere engineering services. We blend scientific principles with cutting-edge technology to create pioneering solutions that endure. From infrastructure projects to environmental initiatives, clients turn to TRC for...

  • Speech Pathologist in Educational Settings

    1 week ago

    Augusta, Maine, United States Soliant Full time

    Become a Key Member of Our Educational TeamSoliant is actively looking for a committed Speech-Language Pathologist to support students in their communication needs within an educational environment.Key Responsibilities:Evaluate communication challenges and establish eligibility for servicesFacilitate meetings for assessments, Individualized Education...

  • Referral Marketing Sales Specialist

    1 month ago

    Augusta, Maine, United States Connect America Full time

    Position Summary:Our Referral Marketing specialist will perform outreach activities with potential clients sourced through our industry marketing efforts.The Referral Marketing Specialist will promote and build our company footprint in Georgia. The referral marketing specialist will be responsible for establishing, maintaining, and strengthening...

  • Senior Signal Operations Specialist

    1 week ago

    Augusta, Maine, United States Clear Resolution Full time

    Position Overview:Clear Resolution Consulting (CRC) is seeking experienced Senior Signal Operations Specialists to join our dynamic team.Key Responsibilities:Deliver continuous operational assistance through the search, detection, identification, interception, and localization of relevant signals utilizing the most effective sensors and geolocation...

  • Senior Biologist for Human-Wildlife Relations

    1 week ago

    Augusta, Maine, United States State of Maine Full time

    WILDLIFE INTERACTION SPECIALIST (SENIOR BIOLOGIST FOR HUMAN-WILDLIFE RELATIONS)POSITION SUMMARY:The Department of Inland Fisheries and Wildlife is on the lookout for a dedicated professional to fill the role of Wildlife Interaction Specialist within the Wildlife Division. This position is integral to addressing the complexities of human-wildlife interactions...

  • Senior Right of Way Specialist

    2 weeks ago

    Augusta, Maine, United States TRC Companies Full time

    About TRC Companies Innovators. Leaders. Trailblazers. At TRC, we have consistently raised the standard for clients who seek more than just conventional engineering solutions. By integrating scientific principles with cutting-edge technology, we craft inventive strategies that endure over time. Our expertise spans a wide array of projects, including...

  • Senior AV Systems Integration Specialist

    6 days ago

    Augusta, Maine, United States Indian Township Solutions Full time

    About Indian Township SolutionsWe are a leading provider of audiovisual systems integration and installation services, supporting the Intelligence Community, Rapid Prototyping Facilities, and commercial customers worldwide.Job SummaryWe are seeking a highly skilled Senior AV Systems Integration Specialist to join our team. As a key member of our programming...

  • Senior Land Surveying Specialist

    2 weeks ago

    Augusta, Maine, United States State of Maine Full time

    State of MaineSalary: $63, $90,438.40 per year (Salary Schedule) Office/Bureau: Project Development - Property Office Location: Augusta, ME Position Number: Job Description: This Senior Land Surveying Specialist role involves office-based land surveying tasks of a supervisory nature. The position encompasses a diverse range of technical, multi-disciplinary...

  • Senior Faculty Member

    2 weeks ago

    Augusta, Maine, United States InsideHigherEd Full time

    Senior Faculty Member - Nursing EducationJob ID: 251804Location: Augusta UniversityFull/Part Time: Full TimeRegular/Temporary: RegularPosition Overview Augusta University College of Nursing is seeking qualified candidates for a full-time, 12-month, non-tenure track faculty position at the Professor level. As the premier nursing program in the state, we cater...

  • Senior Finance Specialist

    2 weeks ago

    Augusta, Maine, United States Maine Public Employees Retirement System Full time

    Position OverviewThe Maine Public Employees Retirement System (MainePERS) is in search of a Senior Accounting Analyst to enhance our Accounting and Finance team. This pivotal role encompasses a variety of critical accounting tasks, including the management of payroll processes, budget formulation and oversight, maintenance of subsidiary accounts, preparation...