Frankfort, KY, 40621, USA
17 hours ago
Medicaid Lead, Technology Solutions
**Become a part of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT and the aligned business group(s). The Lead facilitates guidance to business partners on information technology (IT) solutions, stays current on and leverages industry trends, and challenges business and IT to drive for best outcomes by leveraging the best technology solutions. This is achieved by having a clear understanding of business, its strategic direction, and targeted outcomes along with technology trends both internal and external to the organization. The role serves as the Single Point of Contact representing assigned business area(s) to the IT organization and representing Humana IT with internal business partners along with State and Federal regulators. The Lead contributes to RFP responses to ensure they are accurate and reflect the true and competitive capabilities Humana brings to the table, ensures internal SLAs are in place to support contracts and technology is configured to operate within contractual obligations. The Lead drives solutions at an organizational level to provide maximum value and align to the overarching IT strategy. **This Market CIO role will exclusively cover the Ohio Medicaid product lines.** **This Market CIO must reside full-time within the state of Ohio or in an adjacent state.** **Responsibilities** **Market Engagement and Presence:** + Active Participation: Engage actively in market leadership forums to stay connected with market needs and dynamics. + Deep Understanding: Develop a thorough understanding of market contract requirements and maintain regular communication with market leadership to ensure alignment and responsiveness. **Communication and Transparency:** + Enhanced Communication: Improve communication and transparency with market teams by clearly articulating the enterprise IT strategy and its impact on the markets. Improve the understanding of Market needs within IT and ultimately the quality of delivery by representing the Market in IT forums. + Regular Meetings: Hold regular meetings to discuss IT priorities, new requests, and collaborate with Market Operations and Compliance teams. Facilitate and communicate with state agencies on outages, impacts, and mitigation planning. **Advocacy and Leadership:** + Market Advocacy: Advocate for the market's technical needs and assist in navigating approvals and prioritizations in partnership with the market COO. + Execution Leadership: Lead the translation of contracts into internal technical requirements and oversee the execution process from start to finish, ensuring all stakeholders are aligned and informed, including new functionality needs, data connections, adaption to changing state regulations and the like. **Reporting and Metrics:** + Consistent Reporting: Establish a consistent reporting cadence and template for market-based reporting to ensure clarity and accountability. + Compliance and Reporting Tracking: Track market compliance and reporting SLAs to drive performance, identify areas for improvement, and ensure alignment with market goals. **Operational Focus and Proactivity:** + Priority Management: Balance competing priorities by reducing or adjusting, in partnership with the market COO, the number of simultaneous initiatives to focus on the most critical projects. + Proactive Issue Management: Partner with the Portfolio and PMO teams to address project concerns proactively and create mitigation plans for potential impacts, ensuring timely delivery of needed capabilities. **Use your skills to make an impact** **Required Qualifications** + Solid understanding of operations, technology, communications, and processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Possess 10+ years of progressive experience leading continuous improvement efforts, evaluating existing systems and implementing process improvements. + Must be passionate about contributing to an organization focused on continuously improving consumer experiences *****While this is a remote opportunity,** **it will require the willingness to travel to the market office and state office as needed***** **Preferred Qualifications** + Master's degree **Additional Information** **Why Humana?** At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few: + Work-Life Balance + Generous PTO package + Health benefits effective day 1 + Annual Incentive Plan + 401K - Excellent company match + Well-being program + Paid Volunteer Time Off If you share our passion for helping people, we likely have the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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 + Associates 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 associates 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 **SSN Alert Statement** 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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. 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. $117,600 - $161,700 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. 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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