[Remote] Associate Director, Medicaid Procurement at Humana

San Antonio, Texas, United States

Apply Now

Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, MedicaidIndustries

Requirements

Bachelor's Degree
8 or more years of process improvement, relationship/supplier management, or procurement experience
2 or more years of project leadership experience (formal or informal)
Experience with internal and external audits
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Responsibilities

Understands and explains procurement and supplier oversight processes to Medicaid markets and business areas contacts
Improve and document processes around third-party identification for new market and reprocurement RFPs
Design, improve, and document processes for third party reporting including notification, collection, analyze, storage, and distribution
Team representative and presenter for various Medicaid committee meetings (ex: operations, quality, etc.)
Partner with Medicaid markets to improve processes for communication of activity around third party projects, contracts, and SLA performance
Manage some complex and multi-market relationships
Participate and supports audit requests
Lead and mentor a team of associates
Generates and implements efficient sourcing and category management strategies
Manages the company's supply portfolio ensuring transparency of spending
Complies with federal and state regulatory guidelines
Reconciles purchases with invoices from vendors, validates pricing and contract compliance
Monitors performance through oversight documentation through vendor negotiations and promotional opportunities
Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates

Skills

Procurement

Sourcing

Category Management

Supplier Management

Process Improvement

RFPs

Contract Compliance

Vendor Negotiations

Project Leadership

Audits

Team Leadership

Medicaid

SLA Management

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI

Try Jobo Free