Become a part of our caring community and help us put health first
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. They will lead the Humana's Michigan Medicaid executive team and report directly to Humana's National Medicaid President. The State Market Leader will be based in Michigan and will be the primary contact for the Michigan State Department of Medicaid Services regarding all issues and will coordinate with other key personnel to fulfill programmatic requirements. They will publicly represent Humana Medicaid in Michigan, 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.
Responsibilities :
Manage executive Medicaid leadership team in the Michigan 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 Michigan 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
Use your skills to make an impact
Required Qualifications
Bachelor's degree in Business, Healthcare Administration, or related field
Health Plan/Managed care experience.
Must reside or be willing to relocate to Michigan
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
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 security-both today and in the future, including:Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities
Scheduled Weekly Hours
40
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. 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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.