Strategy Advancement Advisor - LTSS

Humana

5d • Hybrid

About The Position

Become a part of our caring community and help us put health first The Strategy Advancement Advisor LTSS Program Manager provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial. The Strategy Advancement Advisor leads initiatives to analyze complex business problems and issues using data from internal and external sources. Brings expertise or identifies subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans based on company and external data analysis. Ensures that policies and procedures align with corporate vision. Selects, develops, and evaluates personnel ensuring efficient operation of the function. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Responsibilities Liaises between state regulator, plan leadership, and the enterprise to ensure the execution of contract deliverables and operational changes when requested by regulator or deemed necessary Presents to state regulator on behalf of Humana. Performs audit material reviews, as well as post audit follow-ups as required by the state regulator Required to review and approve all materials prior to submission to the state regulator. Including; policies and procedures, work plans, and provider and member facing materials. Drives bi-monthly in-person audits with the state regulator. Works with market leadership to maintain important stakeholder relationships throughout Indiana Oversees the execution of timely regulator deliverables Maintains intimate familiarity with contractual requirements and stipulations Use your skills to make an impact

Requirements

• Bachelor's degree or equivalent experience in Medicaid managed care
• Excellent verbal and written communications
• Strategic planning experience at the market level or higher
• Proven record of success in driving operational improvement
• Experience dealing with external Medicaid and Medicare regulatory agencies
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Prior experience with interpreting and acting upon Medicaid and/or Medicare contracts and legal requests
• Experience working with HCBS (Home and Community Based Services)
• Formal or informal experience with leading teams and/or cross-functional collaboration
• Candidate will be available to meet in person with state leaders. This is a hybrid position that requires you to perform duties in the downtown Indianapolis, IN office 3 day per week
• Must reside in the state of Indiana
• Valid state driver's license
• Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
• Access to a reliable vehicle
• This role is considered patient facing and is part of Humana at Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Nice To Haves

• Extensive LTSS knowledge and experience
• Exceptional Communication Skills

Responsibilities

• Liaises between state regulator, plan leadership, and the enterprise to ensure the execution of contract deliverables and operational changes when requested by regulator or deemed necessary
• Presents to state regulator on behalf of Humana.
• Performs audit material reviews, as well as post audit follow-ups as required by the state regulator
• Required to review and approve all materials prior to submission to the state regulator. Including; policies and procedures, work plans, and provider and member facing materials.
• Drives bi-monthly in-person audits with the state regulator.
• Works with market leadership to maintain important stakeholder relationships throughout Indiana
• Oversees the execution of timely regulator deliverables
• Maintains intimate familiarity with contractual requirements and stipulations

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.

What This Job Offers

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