Strategy Advancement Advisor (HIDE-SNP)
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About The Position
This role will report to the Plan Chief Executive Officer (CEO). The Strategy Advancement Advisor (HIDE-SNP Program Medicaid Liaison) will support Humana's Highly Integrated Dual Eligible Special Needs Plan (HIDE-SNP) contract with the Michigan Department of Health & Human Services (MDHHS). This role will act as a link between Humana, MDHHS, and Centers for Medicare & Medicaid Services (CMS). Supports all priority health plan and care delivery integration workstreams for the Michigan Medicaid contract, which is central to the company's strategic priority to deliver better health outcomes for our members and financial growth for our company. Supports the Medicaid Michigan market leadership team with specific Medicare operational impacts such as Open Enrollment and Annual Enrollment Strategy, Plan Benefit Development, Plan Filing Strategy, Model of Care, CMS Memos and Assessment of Compliance impacts, STARS strategy including activities driven by care management and Call Center secret shopper, Member Material strategy including AIP Model Docs, Member ID Cards, ANOCs, EOCs and more, and SNP Governance. This role will have a dotted line reporting relationship into the National Medicaid Integrated Operations Team which will support coordination with all activities in accordance with Humana's national strategic priorities for dual eligible health plan operations. Promotes strategic alignment across leadership, educates Michigan Medicaid market leaders on the strategy and targeted outcomes, and supports the Integration team through presentation development, change management, and communication. Understands the build, measure, learn and test framework, how to manage program learning agendas, and have financial and/or operational experience.
