AVP, Medicaid Business Integration

Humana • Tampa, FL

1d • $203,400 - $279,800 • Onsite

About The Position

The AVP, Medicaid Business Integration is responsible for leading the execution of cross-functional operating model initiatives across the Medicaid segment, particularly where close coordination is needed between centralized and market-based teams. This role leads integration, decision-making, and delivery for work that spans multiple functions. The AVP ensures initiatives are clearly defined, decisions are made within established timeframes, and execution continues through implementation and sustained adoption. The AVP is accountable for translating strategic priorities into operating models that deliver measurable impact on cost, quality, experience (provider, member & associate), and operational performance.

Requirements

• Bachelor's degree; Master's preferred
• 5+ years of experience in Medicaid
• 5+ years leading teams
• Demonstrated success leading enterprise cross-functional execution or operating model initiatives
• Experience working across clinical, operational, and corporate functions
• Proven ability to drive results in a matrixed organization without direct authority
• Strong financial and operational acumen, including understanding of cost of care and administrative cost drivers
• Critical Capabilities Execution Leadership: Proven ability to deliver complex work from concept through implementation
• Influence Without Authority: Ability to align and challenge senior leaders to drive decisions
• Operating Model Thinking: Understands how structure, process, and technology connect
• Structured Problem Solving: Brings clarity and direction in ambiguous environments
• Accountability Mindset: Drives ownership and follows through to outcomes

Responsibilities

• Lead Execution of Cross-Functional Operating Model Initiatives
• Lead execution of select, high-impact initiatives requiring coordination across centralized and market teams, including: Centralization of services Process standardization Workflow redesign across functions
• Translate strategic intent into clear operating models, roles, workflows, and timelines
• Foster alignment and collaboration across: Centralized functions Market leadership
• Focus on initiatives where: Ownership spans multiple functions Decisions require cross-functional alignment Execution depends on engagement and integration across stakeholders
• Drive Cross-Functional Integration and Decisions
• Lead forums and processes to resolve complex, cross-functional decisions
• Define and drive clarity on: Standardization vs. market flexibility Resource allocation Sequencing and prioritization
• Establish and enforce decision timelines and accountability
• Ensure Delivery and Accountability
• Support initiative owners in achieving milestones, deliverables, and outcomes, and ensure accountability for results
• Identify risks, remove barriers, and drive issue resolution
• Proactively communicate and escalate critical issues and decisions, providing clear recommendations to stakeholders
• Ensure initiatives move from design through implementation to sustained adoption, with ongoing focus on member and provider experience
• Define and Implement Operating Model Changes
• Collaborate with functional and market leaders to define and implement changes in work processes
• Drive thoughtful consolidation, standardization, and workflow redesign
• Ensure alignment of process, technology, organizational structure, and associate engagement
• Establish Execution Governance
• Establish and lead an execution governance model that includes: Cross-functional decision forums Initiative reviews and consistent execution cadence Transparent executive-level reporting
• Maintain a unified view of all work, including dependencies, risks, and progress
• Deliver Measurable Outcomes
• Ensure initiatives deliver measurable impact, including: Medical cost trend improvement Administrative cost efficiency Quality performance (e.g., STARS, HEDIS) Enhanced provider and member experience
• Track value realization, incorporate feedback, and adjust priorities to maximize outcomes

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Manager