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Humana Strategy Advancement, Principal (Medicaid - LTSS) in Atlanta, Georgia

Become a part of our caring community and help us put health first

Humana Healthy Horizons is seeking a Strategy Advancement Principal for Long Term Supports and Services (LTSS). The Strategy Advancement, Principal accelerates ideation and development of LTSS strategic plans and supports program transformation that maximize member outcomes and health plan performance. They promote cross functional strategic initiatives using data and trend analysis and quality improvements, establishing long range goals, objectives, and plans. The Strategy Advancement, Principal is an experienced healthcare strategist with broad, advanced technical experience who will lead multi-disciplinary teams to design, define and deliver innovative health solutions. The Strategy Advancement, Principal will be adept at evaluating and deploying contemporary digital health products to support people with complex health and social needs. They will work with senior executives to develop and drive segment or enterprise-wide functional strategies. They will advise one or more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an advanced LTSS subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise.

To achieve our goals, we seek talent with the following attributes:

Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem solving;

Adaptive - Rapidly learn new knowledge, skills and behaviors in response to changing circumstances;

Self-sufficient - Ability to navigate complex situations and independently produce high quality deliverables;

Consultative - Build/sustain relationships and inform the work of others through actionable, objective insights; and

Strategic - Forward thinking capable of providing frameworks to maximize available resources to achieve growth.

  • Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and turns them into specific operating and business plans executed in partnership across the Enterprise.

  • Leads the strategic direction for RFP bid processes within the LTSS scope and partner with Business Development to keep an updated LTSS Content Guide.

  • Drives standardization of LTSS best practices and capabilities across markets.

  • Assesses trends and monitor success and effectiveness of the LTSS programs across states.

  • Develops community partnership including innovative models with Area Agencies on Aging (AAAs)and Centers for Independent Living (CILs) to bring the strongest programmatic support to members and caregivers.

  • Supports the Innovations Team with LTSS Vendor Partnership selection, development of operating model, and ongoing monitoring.

  • Drives meaningful innovation in LTSS capabilities based on data-driven insights.

  • Leads and influences functional partners by fostering collaborative partnerships.

  • Influences and negotiates effectively to arrive at win-win solutions.

  • Leads change and innovation by demonstrating emotional resilience, managing change by proactively communicating the case for change and promoting a culture that thrives on change.

  • Effectively represents the Medicaid Program Transformation (MPT) - LTSS team in discussions/processes within and external to Humana.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree in Gerontology, Sociology, Nursing, Public Health, or a related field AND three (3) to five (5) years of prior experience leading managed long-term care or LTSS programs OR Five (5) to seven (7) years of prior experience leading managed long-term care or LTSS programs.

  • Minimum three (3) years of prior experience directly leading teams and leading departmental activities to ensure accurate and timely accounting, financial and statistical reports.

  • Experience in strategic and thought leadership in supporting Medicaid health plans.

Preferred Qualifications

  • MBA; Master's in Healthcare Administration (MHA) or equivalent.

  • Minimum two (2) years of prior experience leading integrated LTSS programs such as the Program of All-inclusive Care for the Elderly (PACE), fully Integrate Dual; Eligible Special Needs Plan (FIDE SNP), or other similar models.

  • Experience in process improvement- Six Sigma/Lean Concepts.

Additional Information

  • Workstyle: This is a remote position with travel.

  • Travel: Up to 30% travelling to various states.

  • Typical Workdays and Hours: Monday - Friday;8:00am - 5:00pm Eastern Standard Time (EST)

Work at Home Internet Statement

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

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

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.$136,200 - $187,400 per yearThis 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 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.

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