Director, Medicaid Product Management and Wellness Strategy

at Humana in Springfield, Illinois, United States

Job Description

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

Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a unique opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves.

Medicaid Benefits & Wellness – Growth & Innovation team purpose is to develop new benefits and wellness programs for members in our Medicaid and Duals health plans. Our goal is to advance personalized solutions that foster whole person care to engage and empower our members in their health journeys. This team supports Medicaid growth opportunities and works across the Company to set actionable product strategy and accelerate development of novel solutions through ideation, concept development to launch.

We are a diverse set of highly skilled people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals, we empower associates to pioneer simplicity, rethink routine and 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.

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

The Director, Medicaid Insurance Product Management and Wellness Strategy will have the ability to navigate a regulatory intensive environment, fast-changing customer expectations, and a competitive marketplace to create a portfolio of novel benefits and wellness solutions. Candidates will be experienced health care strategists that possess broad Medicaid Managed Care expertise, deep working knowledge of insurance products, benefits, and wellness solutions, and have a proven track record of bringing new solutions to market.

Key responsibilities include:

+ Policy, Research and Competitor Analysis -Translate guidance from federal and state government to define health plan covered services and related operational requirements -Perform quantitative and qualitative analysis to discern customer needs, assess the marketplace and surface business opportunities.

+ Benefit and Wellness Product Strategy -Participates in capture planning and proposal development process for Medicaid growth opportunities to create a differentiated value proposition for Humana. -Provide a common environment and managed business lifecycle for development of benefits and wellness solutions across the Medicaid segment. -Convey end-to-end vision for Medicaid benefits and wellness to internal and external stakeholders. Accurately describe underlying models, programs, and services

+ Benefit and Wellness Product Innovation -Construct a prioritized product roadmap for new benefits and wellness solutions based on key criteria including customer value, business need and feasibility. -Form and coordinate cross-functional teams to design and develop solutions across initial phases of the product lifecycle that are ready for customer use.

+ Culture and Partnerships -Form and lead a high-performing team by recruiting top talent, fostering a positive team work environment and providing ongoing development opportunities -Sustain strong collaborative working relationships across Medicaid markets and enterprise stakeholders including Population Health, Quality, Member Experience, and Marketing. -Support development of culture and adoption of innovative, agile methodologies across the broader Medicaid segment

Use your skills to make an impact

Required Qualifications

+ Bachelor’s Degree with a strong record of academic achievement

+ 5+ years of in the field of health insurance, product design, or healthcare advisory services

+ 3+ years of management experience or management consulting

+ Deep working knowledge of Medicaid managed care policy, programs and covered services

+ Proven background in benefit and wellness product development for vulnerable underserved populations

+ Excellent verbal and written communication skills

+ Experience in executive presentation and communication

+ Ability to operate in a faced paced environment under tight deadlines

+ Flexible scheduling (i.e. – occasional nights and weekends)

Preferred Qualifications

+ MBA programs with a specialization in Healthcare Management

+ Experience supporting Medicaid Business Development

+ Experience working with government and state agencies

+ Agile Product Development, Project Management and Process Improvement qualifications

Additional Information

Role will include travel (10-25% of time)

This position is open to working remote within the US but prefer the qualified candidate to reside in Louisville, KY or Tampa, Florida with the ability to work in a hybrid capacity.

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 trai