Humana

State Public Policy Lead

San Antonio, Texas, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Government Affairs, PharmaceuticalsIndustries

Requirements

Candidates should possess a Bachelor’s degree and 5-8 years of experience working at a state health care agency, a state regulatory board, a health care trade association, a consulting/lobbying firm engaged in health policy, or a health care plan or provider organization, with 5 or more years of healthcare public policy experience including a track record of working independently on applied analysis, research, and healthcare policy development. Direct understanding of pharmacy/PBM operations and state public policy environment impacting operations is required, along with strong conceptual and creative thinking skills, excellent verbal and written communication skills, and the ability to meet clearly stated expectations.

Responsibilities

The State Public Policy Lead will be responsible for state policy development for key Humana public policy issue areas, including pharmacy, pharmacist licensure, and PBM, leveraging experience and relationships to support advocacy efforts with state government officials and regulators. They will analyze legislative and regulatory trends, prepare materials for regulatory and legislative engagements, inform State Affairs and business leadership on legislative and regulatory trends, and partner with businesses to identify risks and opportunities. The role also involves developing regulatory and legislative responses to proposed rules/laws, assuring philosophical consistency in policy approaches, and working with internal business partners to identify assets for public policy positions, as well as collaborating with the State Affairs and Federal Policy teams to coordinate and develop materials to support Humana’s legislative and regulatory initiatives.

Skills

Policy Development
Legislative Analysis
Regulatory Affairs
Advocacy
Stakeholder Engagement
Policy Communication
Strategic Planning
Relationship Building

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

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