[Remote] Senior Market Development Professional at Humana

Ohio, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor's degree
5+ years of experience in a fast-paced insurance or health care setting
2+ years of project or operations management experience
Experience implementing and measuring success on complex health-related initiatives and pilots
Strong knowledge in MS Office (Word, Excel, and PowerPoint)
Periodic travel up to 10%
Excellent communication skills, both oral and written
Strategic thinker with ability to work independently
Strong relationship building skills
Strong analytical skills and attention to detail
Process-focused, with ability to leverage and enhance existing processes

Responsibilities

Acts as project manager for Midwest Region’s annual bid cycle
Analyzes the competitive landscape in detail, studying growth trends and anticipating competitor moves
Develops and refines multi-year product strategy for the region
Balances growth, financial implications, competitive dynamics, and impact on the member experience when recommending benefit modifications
Partners with the Corporate Product Team, Actuarial Team, and local market operations teams to align operations (Stars, network, directory, etc.) with the plan design & plan strategy
Reviews plan filings in conjunction with Product Team prior to CMS submission
Supports the Sales Leadership with product strategy, agent education, marketing, and product roll-outs
Maintains willingness to travel during bid preparation & bid process to work with the team in Ohio and to participate in meetings in Louisville
Periodic travel across the region (OH, IN, KY, MI, WV)

Skills

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.

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