VP, Medicaid Regional President, IN - Humana : Job Details

The VP, Medicaid Regional President (CEO) for Indiana will be responsible for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program. Humana Healthy Horizons in Indiana market includes both Waiver programs, which provide long-term services and support to eligible individuals, and Dual Eligible Special Needs Plans (DSNP), which serve members who qualify for both Medicare and Medicaid. They will lead the state Medicaid executive team and report directly to SVP Medicaid Divisional Leader. The Medicaid President will be based in Indiana and will be the primary point of contact for the state regarding all issues. They will coordinate with other key personnel to fulfill programmatic requirements. They will publicly represent Humana Medicaid Indiana, while enhancing and further developing relationships with stakeholders throughout the state. The Medicaid President manages the development, operations, and results of the health plan and requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise wide.

Location: Must reside or be willing to relocate to Indianapolis, IN

Position Responsibilities:

• Manage executive Medicaid leadership team in the Indiana 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 the state, and to subcontractors
• Drive a focus on the delivery of high-quality care and support
• 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

Use your skills to make an impact

Required Qualifications:

• Bachelor's degree in business, Healthcare Administration, Public Health or related field
• Experience in Medicaid MCO plan operation with demonstrated experience in TANF/CHIP/ABD/LTSS Wavier
• 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
• Must reside or be willing to relocate to Indianapolis, IN

Preferred Qualifications:

• Master's degree in business, Healthcare, Public Health, or related field
• 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
• DSNP Experience inclusive of Medicare Advantage
• Proven track record of collaborating with Medicare teams to drive growth and optimize member outcomes for DSNP populations

Additional Information:

• Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website
• Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial securityboth today and in the future, including: Health benefits effective day 1, Paid time off, holidays, volunteer time and jury duty pay, Recognition pay, 401(k) retirement savings plan with employer match, Tuition assistance, Scholarships for eligible dependents, Parental and caregiver leave, Employee charity matching program, Network Resource Groups (NRGs), Career development opportunities

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

Scheduled Weekly Hours: 40

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 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. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.