Humana

Strategy Advancement Advisor (Medicaid)

San Antonio, Texas, United States

Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, Medicaid Managed CareIndustries

Strategy Advancement Advisor

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Strategy Advancement Advisor builds local market presence for Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with Business Development Market Vice Presidents (VPs) to understand the healthcare landscape, setting strategy and solutions to improve health and well-being outcomes for our members, and establishing relationships with key partners at the state and local levels.

Responsibilities

  • Works closely with Medicaid Business Development and Proposal leaders to identify and determine strategies to propose in the company’s responses to Requests for Proposals (RFPs).
  • Advises executives to develop functional strategies (often segment specific) on matters of significance.
  • Collects and analyzes state-specific health and social determinants of health data to create a foundational understanding of a state’s health care and Medicaid landscape.
  • Works with Market VP, Business Development to develop the framework and strategies to address the health care needs and priorities within a state.
  • Works with Market VP, Business Development to identify key organizations and associations, advocacy programs, and support networks to develop robust networks and partnerships.
  • Collaborates with the Community Outreach and Engagement Lead, Business Development to build visibility and credibility of Humana Healthy Horizons in local markets.
  • Works in a highly matrixed organization and collaborative environment with internal and external stakeholders; able to navigate and support these relationships with professional etiquette.
  • Exercises independent judgment and decision making on complex issues regarding approach, engagements, and works under minimal supervision.
  • Uses independent judgment requiring analysis of variable factors and determining the best course of action.
  • Use your skills to make an impact.

Required Qualifications

  • Bachelor's degree.
  • Two (2) or more years of experience in Medicaid policy or Medicaid managed care business operations.
  • Two (2) or more years of project leadership experience.
  • Previous experience with Medicaid business development.
  • Previous experience with strategy development from research to conception to inform state business proposals for Medicaid.
  • Previous experience with working on projects that require strong analytical and reasoning skills.
  • Proficiency with Microsoft Office programs, including Word, Excel, PowerPoint, Teams and SharePoint and video conferencing platforms including Zoom, Teams and Webex.
  • Strong communication skills, both written and verbal, for completion of team correspondence, meeting minutes, and status reports to varying levels of the organization.
  • Strong time management that allows for working independently.
  • Demonstrated ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers.

Preferred Qualifications

  • Bachelor’s or master’s degree in public health or healthcare administration.
  • Two (2) or more years of Business Development or Proposal Management experience.

Additional Information

  • Workstyle: This is a remote position.
  • Travel: Up to 20% to various states.
  • Core Workdays and Hours: Monday – Friday; 8:00am – 5:00pm

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with teleph

Skills

Medicaid
Healthcare Landscape Analysis
Strategy Development
Partnership Building
Community Outreach
Data Analysis
Social Determinants of Health
RFP Response Strategy
Stakeholder Management
Executive Advising

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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