Director, Technology Solutions

HumanaLouisville, KY
23hRemote

About The Position

The Director of New Medicaid States will provide strategic leadership and technical direction for Medicaid state implementations and expansions. This role will drive end-to-end delivery for new state launches, system integrations, compliance, and ongoing support of Medicaid products and operations. The ideal candidate will partner with business, technology, and regulatory teams to ensure seamless execution of Medicaid initiatives and high-quality member experiences, paying special attention to the nuanced contractual terms per state.

Requirements

  • Bachelor’s degree in Computer Science, Information Systems, or related field
  • Experience hiring and growing high performing teams
  • 8+ years of progressive IT leadership experience, including direct oversight of large, cross-functional teams.
  • Proven track record of successful delivery of complex IT initiatives in a regulated environment.
  • Excellent communication, stakeholder management, and organizational skills.
  • Experience in driving organizational change and integrating teams.
  • Strong understanding of data governance, privacy, and compliance frameworks.

Nice To Haves

  • Familiarity with cloud-based architectures and modern API frameworks
  • Demonstrated expertise in member administration platforms and enterprise API management.
  • Masters degree

Responsibilities

  • Technical Leadership : Strong understanding of Medicaid business processes, enrollment, eligibility, and claims systems. Experience with large-scale IT implementations, system integrations, and data migrations. Proficiency in project management methodologies (Agile, Waterfall, hybrid). Familiarity with cloud-based solutions and enterprise platforms (AWS, Azure, Salesforce, etc.). Working knowledge of data management, security, and compliance frameworks (HIPAA, HITRUST). Ability to analyze complex data sets and design solutions for interoperability and automation. Advanced proficiency with tools such as SQL, ETL, API integration, and reporting technologies. Excellent communication, stakeholder management, and problem-solving skills. Proven ability to lead distributed teams and drive organizational change.
  • Business Partnership : Partner with Product Owners, business stakeholders, and cross-functional technology teams to deliver high-quality, compliant solutions that meet regulatory and business requirements.
  • Regulatory Compliance : Maintain strong controls related to data privacy, security, and compliance with applicable U.S. federal regulations.
  • People Management : Manage team performance, including coaching, mentoring, and developing talent to ensure a high-performing, inclusive environment.
  • Project Management : Ensure successful delivery of projects and ongoing operations, including budget management, resource allocation, and vendor relationships.

Benefits

  • Humana provides medical, dental and 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 and many other opportunities.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service