Senior Healthcare Economics Analyst
Imagine PediatricsSalary not specified
- Full Time
- Senior (5 to 8 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates should possess Medicaid managed care operations expertise and have experience in designing solutions for key Medicaid programs and subpopulations. Ideal candidates will possess a broad range of knowledge spanning across member, products and benefits, and health plan administration portfolios (provider, claims, etc.), with areas of focus including Enrollment, Member Experience, Value-Added Benefits, Wellness and Subcontractor Management.
Responsibilities
The Market Entry Capture Strategy Lead will lead initiatives to develop and execute strategy to successfully position Humana to capture growth opportunities, working horizontally across the organization to coordinate with Medicaid leadership and operational subject matter experts. They will consult with growth partners to design and optimize operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations served in target growth markets, conducting research and assessing prospective new markets. Furthermore, the Lead will gather key information on market and regulatory landscape and translate state policy to discern impacts to Humana’s operating model as it pertains to member value, coordinating operational teams to translate contract requirements and industry best practices.
Skills
Strategic Planning
Market Entry Strategy
Data-Driven Insights
Project Management
Healthcare Industry Knowledge
Medicaid Subject Matter Expertise
Research Skills
Operational Modeling
Problem Solving
Collaboration
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.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees