• Job Description

  Req#: R-315846

  Description

  The Director, Provider Medicaid Operations provides business intelligence and strategic planning support for business segments. The role requires a solid understanding of how organization capabilities interrelate across provider operational department(s) from the perspective of Medicaid. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, and develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy.

  Responsibilities

  The Director, Provider Medicaid Operations oversees, leads, and coordinates the execution of strategic and operational initiatives. These initiatives are highly complex and involve creation and oversight of multifaceted teams. The role brings expertise or identifies subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans. The Director will serve as a liaison to cross-functional groups across the entire company with a focus on working with teams, strong analytics, and information synthesis while applying critical thinking to these initiatives. The role will help breakthrough any roadblocks, resolve issues and escalate where needed. The Director will lead highly specialized professional associates.

  Required Qualifications

  Candidate to meet one of the following:

  • 5 or more years of people leadership experience in building, managing and/or developing high-performing teams AND 3 or more years of Medicaid experience

  OR

  • 3 or more years of people leadership experience in building, managing and/or developing high-performing teams AND 5 or more years of Medicaid experience

  Candidate to meet all of the following:

  • Proven success in strategy development and implementation
  • Meet Work at Home Connectivity policy in additional information
  • Relationship focused and can represent organization well to both internal and external audiences

  Preferred Qualifications

  • Ability to anticipate and be proactive around next steps in large initiatives simultaneously
  • Broad understanding of our businesses and connectedness to key Humana constituent areas
  • Knowledge of Humana's internal policies, procedures and systems

  Additional Information

  Travel: minimal travel to some state held Medicaid meetings

  Location: remote, however, if near a Humana office may be required to come in for meetings etc.

  Virtual Pre-Screen

  As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a Modern Hire interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.

  Work at Home Connectivity Requirements

  To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

  At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.

  Wireless, Wired Cable or DSL connection is suggested.

  Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)

  Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

  Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

  If you have additional questions regarding this role posting, please send them to the Ask A Recruiter by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

  #LI-Remote

  This is a remote position

  Scheduled Weekly Hours

  40

  Pay Range

  The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

  
  

  $153,500 - $211,175 per year

  
  

  This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

  Description of Benefits

  Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

• About the company

  Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs

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