Medicaid Market Development Advisor

Medicaid Market Development Advisor

The Medicaid Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.

The Medicaid Market Development Advisor serves as the primary liaison for all assigned categories and third parties. Ensures that assigned health plans are meeting or exceeding corporate Medicaid performance benchmarks. Maintains relationships with internal business partners.

An ideal candidate will:

• Exercises independent judgment and decision making on complex issues regarding job duties and related tasks.
• Works under minimal supervision.
• Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Responsibilities can include:

• Relationship managers provide ongoing contract oversight.
• Holds operational meetings to validate that all services being provided are meeting contract SLAs, review projects, and discuss relevant topics or issues.
• Facilitate Joint Operations Committee to review key performance metrics and ongoing monitoring results and foster cross functional discussion.
• Collect and analyze reporting data. Prepare performance summary reports.
• Manage any correct active plans issues for identified deficiencies.

Use Your Skills To Make An Impact

Required Qualifications

• Bachelor's degree.
• 3+ years' experience with Medicaid/Medicare/Employer Group operations/Category Management/Supplier Management.
• 3+ years managing large scale projects and cross functional teams.
• Success in developing working relationships within a highly matrixed business environment.
• Ability to analyze data and make informed recommendations.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

• Master's degree.
• Experience responding to state and/or federal government solicitations.
• Experience developing relationships with key stakeholders to understand and improve the market.

Additional Information

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.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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. $94,900 - $130,500 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 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 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.