Medicaid Capture Lead – Clinical and Population
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Job Description
Lead Medicaid strategies for Humana's growth opportunities while collaborating across teams and creating actionable plans. Focus on population health and clinical program optimization.
Responsibilities:
- Lead initiatives to develop and execute operating models and strategies to successfully position Humana to capture growth opportunities.
- Work horizontally across the organization, coordinating with Medicaid leadership and population health and clinical subject matter experts.
- Synthesize, assess, and translate state Medicaid and integrated dual eligible program requirements into actionable go-to-market strategy.
- Consult with growth partners to design and optimize population health and clinical operating model blueprints.
- Research and assess prospective Medicaid growth markets.
- Gather key information on market and regulatory landscape.
- Lead cross-functional teams of growth partners and health plan leaders to design high-impact, innovative, and competitive population health and clinical programs.
Requirements:
- Bachelor’s Degree
- 5+ years’ experience in a Medicaid Managed Care Organization or 5+ years’ experience in strategy consulting supporting Medicaid clinical strategy, population health management, or business development.
- Experience and understanding of the Medicaid ecosystem and managed care health services operations.
- Business development/proposal and/or implementation experience within Medicaid Managed care.
- Experience leading cross-functional teams to design a strategy and/or product.
- Strong problem-solving ability (i.e. adept at research and generating creative solutions)
- Ability to operate in a fast-paced environment under tight deadlines and in ambiguous situations.
- Highly organized and analytical with a strong attention to detail.
- Advanced Proficiency in Microsoft Office Products (i.e. Word, Excel, PowerPoint, Visio).
- Adept at quantitative and qualitative research.
- Excellent verbal and written communication and presentation skills.
Benefits:
- 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
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