HIDE-SNP Program Medicaid Liaison - Humana : Job Details

This role will report to the Plan Chief Executive Officer (CEO). The HIDE-SNP Program Medicaid Liaison (Strategy Advancement Advisor) will support Humana's Highly Integrated Dual Eligible Special Needs Plan (HIDE-SNP) contract with the Michigan Department of Health & Human Services (MDHHS). This role will act as a link between Humana, MDHHS, and Centers for Medicare & Medicaid Services (CMS).

Supports all priority health plan and care delivery integration workstreams for the Michigan Medicaid contract, which is central to the company's strategic priority to deliver better health outcomes for our members and financial growth for our company.

Supports the Medicaid Michigan market leadership team with specific Medicare operational impacts such as Open Enrollment and Annual Enrollment Strategy, Plan Benefit Development, Plan Filing Strategy, Model of Care, CMS Memos and Assessment of Compliance impacts, STARS strategy including activities driven by care management and Call Center secret shopper, Member Material strategy including AIP Model Docs, Member ID Cards, ANOCs, EOCs and more, and SNP Governance.

This role will have a dotted line reporting relationship into the National Medicaid Integrated Operations Team which will support coordination with all activities in accordance with Humana's national strategic priorities for dual eligible health plan operations.

Promotes strategic alignment across leadership, educates Michigan Medicaid market leaders on the strategy and targeted outcomes, and supports the Integration team through presentation development, change management, and communication.

Understands the build, measure, learn and test framework, how to manage program learning agendas, and have financial and/or operational experience.

Required Qualifications

• Bachelor's degree with a minimum of five (5) years of progressive experience managing large scale projects OR equivalent work experience with a minimum of eight (8) years of progressive experience managing large scale projects.
• A minimum of three (3) years of experience in strategy execution from conception to implementation.
• Experience with Medicare Advantage and Dual Special Needs Plans.
• Demonstrated ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers.
• Ability to come up-to-speed quickly on the Integration strategy.
• Demonstrates a strong ability to develop opportunity cases.
• Ability to travel to the Detroit area office and MDHHS periodically for meetings.
• Strong communication skills, both written and verbal, for completion of team correspondence, meeting minutes, and status reports to varying levels of the organization.
• Strong collaboration and facilitation skills in order to lead project teams and meetings throughout the project lifecycle.
• Strong time management that allows for working independently.
• Strong analytical and reasoning skills to lead project teams to solutions and alternatives.

Preferred Qualifications

• A minimum of five (5) years of experience working within a health plan or a care delivery organization.
• Progressive experience managing portfolios of similar projects.
• Experience conducting industry, market, competitor, and financial analysis and identify insights.

Additional Information

Workstyle: This position's workstyle may begin as Remote but once a new Humana office is established in Detroit, MI or in a surrounding area, the workstyle will change to Hybrid Home.

Travel: Up to 25% to MDHSS, throughout Michigan, team engagement meetings and conferences in and out of Michigan.

Direct Reports: Up to 3 associates.

Interview Format: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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 will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year. This job is eligible for a bonus incentive plan.

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 Us: 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.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.