Strategy Advancement Advisor (Medicaid)

San Antonio, Texas, United States

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Not SpecifiedCompensation

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

Full TimeJob Type

UnknownVisa

Health Insurance, MedicaidIndustries

Requirements

Candidates must possess a Bachelor's degree and have at least two years of experience in Medicaid policy or managed care business operations, along with two or more years of project leadership experience. Previous experience in Medicaid business development, strategy development for state business proposals, and working on projects requiring strong analytical and reasoning skills is necessary. Proficiency in Microsoft Office Suite and strong written and verbal communication, time management, and change management skills are also required.

Responsibilities

The Strategy Advancement Advisor will build local market presence for Humana Healthy Horizons, prepare markets for upcoming Medicaid managed care program bids, and collaborate with Business Development Market VPs to understand the healthcare landscape and develop strategies. This role involves advising executives on functional strategies, collecting and analyzing state-specific health data, developing frameworks to address healthcare needs, identifying key organizations for partnerships, and building visibility and credibility in local markets. The advisor will also work collaboratively within a matrixed organization, exercise independent judgment, and make decisions on complex issues.

Skills

Medicaid

Strategy Development

Market Analysis

Healthcare Landscape

Partnership Development

Data Analysis

Social Determinants of Health

Community Outreach

Stakeholder Management

Executive Advising

RFP Response

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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