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Posted: Wednesday, January 31, 2018 10:05 PM

*Title:*Medicaid/Duals Business Development - Network & Provider Leader
*Role:*Market Management Market Director**
*Location:*Louisville, KY
*Assignment Capsule*Be a part of our Medicaid Business Development Organization - Humana is seeking a Proposal Leader who will deliver value and quality in a fast paced environment.
*_Role Responsibilities_*_:_
* Manage Medicaid Provider Network area within Business Development Team as part of process to build new state Medicaid/LTSS/Duals networks, respond to State RFPs, and drive other strategically important initiatives to grow Humana s Medicaid, LTSS, and Duals lines of business
* Lead coordination and collaboration with Medicaid leadership and business partners to align on approach and activity for network builds, provider strategies, and proposal response narratives
* Develop and support development of strategies and innovative approaches to evolving Medicaid/LTSS/Duals provider marketplace, such as Value Based Payment and Telemedicine
* Gather key information on provider landscape in prospective new markets to inform network build
* Ensure compliance with all state and federal laws in contracting process
* Oversee partnership with key network build vendor
* Oversee project plans, project schedules, resource assignment matrixes, etc at the outset of each build and/or bid
* Drive timely completion of internal/external deliverables by cross functional project team
* Track project status and report on progress to leadership
* Help develop materials for internal and external presentations and communications regarding Humana s business goals, market strategy, policy, positioning, and outcomes in the Medicaid and Dual Eligible marketplace
* Identify and implement opportunities for process improvement
* Translate state administrative code language and procurement requirements to understand state s ultimate vision
* Translate Humana operating models and marketplace strategy into winning proposals
* Engage in stakeholder and provider/association level relationship development meetings in current and prospective new markets
* Attend occasional professional conferences to gather product, market and competitive knowledge and understanding
*Role Essentials:*
* Bachelor s Degree
* 3 5 years managing large scale projects & cross functional teams
* 3 5 years in healthcare strategy, provider development, or network contracting
* Ability to lead virtual teams
* Strong attention to detail and focus on process and quality
* Ability to lead project teams and drive deliverables to completion
* Ability to manage multiple projects simultaneously
* Ability to identify gaps in process performance and recommend process improvements.
* Ability to work with internal support groups to drive business results
* Success developing working relationships within a highly matrixed business environment
* Ability to operate under tight deadlines in a high stress environment
* Flexible scheduling (i.e. occasional nights and weekends)
* *
*Role Desirables*
* Master s Degree
* 3 5 years experience in Medicaid/LTSS Strategy and/or Business Development
* 1 3 years experience in Medicaid/LTSS Network Contracting and/or Provider Strategy
* 1 3 years experience in Medicaid/LTSS Network Operations and/or Provider Relations
* 1 3 years experience in Medicaid/LTSS Provider Operations and/or Administration
* Experience responding to state and/or federal government solicitations
* Experience working with large health systems and safety-net providers
* Experience developing relationships with key stakeholders to understand and improve community care infrastructure
Role will include travel (20-35% of time)
This position reports to the Medicaid/Duals Strategy & Business Development Leader
*Additional Information*
Humana is an organization with careers that change lives including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
Apply now, or join our Talent Network so you can stay informed and up to date on what s happening at Humana.
**Title:** *Medicaid/Duals Business Development - Network & Provider Leader*
**Location:** *KY-Louisville*
**Requisition ID:** *184831*
Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.


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