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State Implementation Leader

Humana

Humana

Kentucky, USA · Remote
Posted on Sep 7, 2024

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

The Medicaid Program Delivery Principal is responsible for the successful delivery of large-scale, complex program instillation that align with the strategic goals and growth pipeline of the Medicaid organization. This role will be assigned a specific state program to implement and will oversee the end-to-end program deployment including planning, execution, monitoring, and closure, while ensuring that programs are installed on time, within scope and budget.

The Program Delivery Principal will collaborate closely with stakeholders, manage cross-functional teams, and drive continuous improvement in delivery processes. To ensure successful delivery of program installation the delivery lead will have multiple key responsibilities, including:

  • Program Delivery Oversight: Lead the end-to end delivery of programs, ensuring alignment with business objectives and stakeholder expectations
  • State Relationship Management: Be the key contact for Medicaid State partners through the implementation lifecycle
  • Planning & Execution: Review program deliverables including milestones, resource allocation, risk management and budget tracking
  • Stakeholder Management: Act as the primary point of contact for all program-related communications, managing relationships with key stakeholders across the organization. Partner with Medicaid Implementation PMO ensuring seamless communication across the organization and to our state partners.
  • Team Leadership: Provide guidance to program teams fostering a collaborative and results driven environment.
  • Quality Assurance: Ensure that all deliveries meet the required standards of quality and are aligned with the overall goals of the program.
  • Continuous Improvement: Drive improvements in delivery methodologies and processes pertaining to the program management delivery process and partner with leaders to identify best practices.

Skills:

  • Strong communication skills with the ability to influence and engage
  • Analytical mindset with strong problem-solving skills
  • Proficient in project management tools and methodologies
  • Ability to work under pressure and manage multiple priorities effectively
  • Experience leading and implementing large programs
  • Experience in change management

Competencies:

  • Strategic thinking and vision alignment
  • Decision making and accountability
  • Conflict resolution and negotiation
  • Adaptability and flexibility
  • Attention to detail and commitment to high quality
  • Collaborative and team-oriented leadership style with the ability to lead via influence


Use your skills to make an impact

Required Qualifications:

  • Bachelor's degree, or 5+ equivalent work experience
  • 3+ years of progressive leadership experience leading continuous improvement efforts, evaluating existing systems and implementing process improvements.
  • 3+ years Medicaid plan operations experience
  • 3+ years prior experience in Medicaid, Medicare, Government Healthcare or Commercial Healthcare business areas, supporting implementation or installation of accounts
  • 3+ years experience in leading large-scale, cross-functional projects, designing innovative solutions
  • Proven Strategic Work experience
  • Possess a solid understanding of operations, technology, communications and processes

Preferred Qualifications

  • Strong track record of driving operational improvements that support business strategy
  • 3+ years of leading Medicaid Implementations
  • Project Management Certification and/or Lean/Six Sigma
  • Strong relationship building and communication skills
  • Strong analytical and reporting skills
  • Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies

Additional Information

This position is open to working remote during 8:00 am - 5:00 pm est.

Work-At-Home Requirements

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 Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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.

Social Security Task

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.

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.


$123,800 - $170,400 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 veteran status. 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.