Medicaid Market Development Advisor

Humana Inc.•Tampa, FL

30d•Remote

About The Position

The Medicaid Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Advisor works on problems of diverse scope and complexity ranging from moderate to substantial. The Medicaid Market Development Advisor serves as the primary liaison for all assigned categories and third parties. Ensures that assigned health plans are meeting or exceeding corporate Medicaid performance benchmarks. Maintains relationships with internal business partners. An ideal Candidate will: Exercises independent judgment and decision making on complex issues regarding job duties and related tasks Works under minimal supervision Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Requirements

Bachelor's degree
3 + years' experience with Medicaid/Medicare/Employer Group operations/Category Management/Supplier Management
3 +years managing large scale projects and cross functional teams
Success in developing working relationships within a highly matrixed business environment
Ability to analyze data and make informed recommendations
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Nice To Haves

Master's degree
Experience responding to state and/or federal government solicitations
Experience developing relationships with key stakeholders to understand and improve the market

Responsibilities

Relationship managers provide ongoing contract oversight.
Holds operational meetings to validate that all services being provided are meeting contract SLAs, review projects, and discuss relevant topics or issues.
Facilitate Joint Operations Committee to review key performance metrics and ongoing monitoring results and foster cross functional discussion.
Collect and analyze reporting data. Prepare performance summary reports
Manage any correct active plans issues for identified deficiencies
Create and manage category strategies for assigned relationships. Facilitate RFx events as needed.

Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our 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.

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