Market Entry Capture Strategy Lead

Humana • Mansfield, TX

250d • $115,200 - $158,400 • Remote

About The Position

The Market Entry Capture Strategy Lead will lead initiatives to develop and execute strategy to successfully position Humana to capture growth opportunities. This role will work horizontally across the organization, coordinating with Medicaid leadership and operational subject matter experts to synthesize, assess, and translate state requirements into actionable go-to-market strategy. The Lead will consult with growth partners to design and optimize operating model blues for viable Medicaid health plans that meet the needs of state clients and populations served in target growth markets. Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to advance Humana's Medicaid products and capabilities and support the strategic direction and growth of the Medicaid and Duals lines of business. This is a unique opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves. The Medicaid Capture Management team's purpose is to successfully position Humana to enter new markets enabling the future of the business. As a centrally positioned strategic function, this team coordinates with growth partners across the enterprise and industry to accelerate product strategy and define the operating model for new markets. We deliver value through detailed research, data-driven insights, strategic planning, structured problem solving, and project management rigor. We are a diverse set of highly skilled people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals, we empower associates to pioneer simplicity, rethink routine and seek talent with the following attributes: Creative, Adaptive, Self-sufficient, Consultative, and Strategic.

Requirements

• Bachelor's Degree with a strong record of academic achievement
• 5+ years' experience in a Medicaid or Medicare Managed Care Organization
• 5+ years' experience in business development and strategy consulting
• Experience and understanding of the Medicaid ecosystem, managed care health services operations, business development lifecycle, and strategic planning
• Experience leading cross-functional teams to design a strategy and/or product
• Strong problem-solving ability (i.e. adept at research and generating creative solutions)
• Ability to operate in a fast-paced environment under tight deadlines and in ambiguous situations
• Highly organized and analytical with a strong attention to detail
• Advanced Proficiency in Microsoft Office Products (i.e. Word, Excel, PowerPoint, Visio)
• Adept at quantitative and qualitative research
• Excellent verbal and written communication and presentation skills

Nice To Haves

• Master's Degree in Public Health or Health Administration programs
• MBA programs with a specialization in Healthcare Management
• Project Management and Process Improvement qualifications

Responsibilities

• Research and assess prospective new markets. Gather key information on market and regulatory landscape and translate state policy to discern impacts to Humana's operating model.
• Coordinate operational teams to translate contract requirements, market intelligence, and industry best practices into a viable target operating model.
• Lead cross-functional teams of growth partners and health plan leaders to develop high-impact, innovative, and competitive market entry strategy for pursuing growth opportunities.
• Develop project plans and roadmaps, driving timely completion of deliverables by cross-functional project team.
• Track project status and report on progress to leadership.
• Participate in the proposal development process. Provide content and recommendations to help shape responses to state procurements and clearly articulate Humana's operational strategy.
• Document and clearly communicate operating model features to relevant teams to support proposal development and transition to implementation.

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance
• Bonus incentive plan based on company and/or individual performance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree