VP Regional Medicaid President - Multiple Locations

Profile

Description

Humana is expanding its Medicaid footprint. We are seeking Medicaid State Leaders. The State Market Leader will be based in IN, TX, VA or GA and will be the primary contact for the local Department of Medicaid Services regarding all issues and will coordinate with other key personnel to fulfill programmatic requirements.

Responsibilities

Humana's Medicaid State Market Leader will be responsible for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program in one of the following states; IN, TX, VA or GA. They will lead the Humana's Medicaid executive team and report directly to Humana's National Medicaid President. The State Market Leader will be based in IN, TX, VA or GA and will be the primary contact for the local Department of Medicaid Services regarding all issues and will coordinate with other key personnel to fulfill programmatic requirements. They will publicly represent Humana Medicaid while enhancing and further developing relationships with stakeholders throughout the state.

The VP, Medicaid Regional President manages the development, operations, and results of a health plan and requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.

Essential Functions and Responsibilities


Manage executive Medicaid leadership team in the market, through which all plan associates report
Develop strategies, formulate policies, and oversee operations to ensure the appropriate objectives and goals are met
Represent Humana to the public, to plan members, to associates, to local Department of Medicaid Services, and to subcontractors
Drive a focus on the delivery of high-quality care and supports
Develop clear and measurable plan objectives, goals, and ideas
Establish and maintain a diverse, inclusive, and respectful environment
Promote a culture of health and well-being throughout the organization
Ensure plan compliance with federal and state laws and programmatic requirements, including fraud, waste, and abuse; make decisions in an ethical manner
Oversee operational policies and procedures
Ensure long-term health plan financial success, sustainability, and growth
Develop and adhere to budgets
Resolve urgent and emergency matters in a fair way according to applicable policies and procedures
Work with Humana National support teams to infuse best practices from other states and drive new ideas and initiatives from across the Medicaid and healthcare industry
Effectively support the growth of associates to enhance plan leadership and career development
Serve as chairperson of the Member Advisory Council


Required Qualifications


Bachelor's degree in Business, Healthcare Administration, or related field


Preferred Qualifications


Experience in Medicaid MCO plan operations; experience in strategic and thought leadership in supporting Medicaid health plans; experience with budgeting and financial management of a health plan
Six (6) to ten (10) years of experience working in healthcare or government leadership and/or operations management
Leadership background with more than five (5) direct-reports
Master's degree in Business, Healthcare, Public Health, or related field


Additional Information

Must reside in IN, TX, VA or GA.

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

Company info

Sign Up Now - CLevelCrossing.com