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CLevelCrossing

VP Regional Medicaid President - Multiple Locations

CLevelCrossing, Indianapolis, Indiana, us, 46262


VP Regional Medicaid President - Multiple Locations

Location Indianapolis, IN, United States Posted on Dec 07, 2022 Apply for this job your email:

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Profile Description

Humana is expanding its Medicaid footprint. We are seeking Medicaid State Leaders. The State Market Leader will be based in IN, TX, VA or GA and will be the primary contact for the local Department of Medicaid Services regarding all issues and will coordinate with other key personnel to fulfill programmatic requirements.

Responsibilities

Humana's Medicaid State Market Leader will be responsible for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program in one of the following states; IN, TX, VA or GA. They will lead the Humana's Medicaid executive team and report directly to Humana's National Medicaid President. The State Market Leader will be based in IN, TX, VA or GA and will be the primary contact for the local Department of Medicaid Services regarding all issues and will coordinate with other key personnel to fulfill programmatic requirements. They will publicly represent Humana Medicaid while enhancing and further developing relationships with stakeholders throughout the state.

The VP, Medicaid Regional President manages the development, operations, and results of a health plan and requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.

Essential Functions and Responsibilities

Manage executive Medicaid leadership team in the market, through which all plan associates report Develop strategies, formulate policies, and oversee operations to ensure the appropriate objectives and goals are met Represent Humana to the public, to plan members, to associates, to local Department of Medicaid Services, and to subcontractors Drive a focus on the delivery of high-quality care and supports Develop clear and measurable plan objectives, goals, and ideas Establish and maintain a diverse, inclusive, and respectful environment Promote a culture of health and well-being throughout the organization Ensure plan compliance with federal and state laws and programmatic requirements, including fraud, waste, and abuse; make decisions in an ethical manner Oversee operational policies and procedures Ensure long-term health plan financial success, sustainability, and growth Develop and adhere to budgets Resolve urgent and emergency matters in a fair way according to applicable policies and procedures Work with Humana National support teams to infuse best practices from other states and drive new ideas and initiatives from across the Medicaid and healthcare industry Effectively support the growth of associates to enhance plan leadership and career development Serve as chairperson of the Member Advisory Council

Required Qualifications

Bachelor's degree in Business, Healthcare Administration, or related field

Preferred Qualifications

Experience in Medicaid MCO plan operations; experience in strategic and thought leadership in supporting Medicaid health plans; experience with budgeting and financial management of a health plan Six (6) to ten (10) years of experience working in healthcare or government leadership and/or operations management Leadership background with more than five (5) direct-reports Master's degree in Business, Healthcare, Public Health, or related field

Additional Information

Must reside in IN, TX, VA or GA.

Scheduled Weekly Hours

40

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