VP, Medicaid Regional President, IN

Humana • Indianapolis, IN

102d • Remote

About The Position

The VP, Medicaid Regional President (CEO) for Indiana will be responsible for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program. Humana Healthy Horizons in Indiana market includes both Waiver programs, which provide long-term services and support to eligible individuals, and Dual Eligible Special Needs Plans (DSNP), which serve members who qualify for both Medicare and Medicaid. They will lead the state Medicaid executive team and report directly to SVP Medicaid Divisional Leader. The Medicaid President will be based in Indiana and will be the primary point of contact for the state regarding all issues. They will coordinate with other key personnel to fulfill programmatic requirements. They will publicly represent Humana Medicaid Indiana, while enhancing and further developing relationships with stakeholders throughout the state. The Medicaid President manages the development, operations, and results of the health plan and requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise wide.

Requirements

• Bachelor's degree in business, Healthcare Administration, Public Health or related field
• Experience in Medicaid MCO plan operation with demonstrated experience in TANF/CHIP/ABD/LTSS Wavier
• Experience with budgeting and financial management of a health plan
• Six (6) to ten (10) years of experience working in healthcare or government leadership and/or operations management
• Leadership background with more than five (5) direct reports
• Must reside or be willing to relocate to Indianapolis, IN

Nice To Haves

• Master's degree in business, Healthcare, Public Health, or related field
• Experience in Medicaid MCO plan operations; experience in strategic and thought leadership in supporting Medicaid health plans; experience with budgeting and financial management of a health plan
• DSNP Experience inclusive of Medicare Advantage
• Proven track record of collaborating with Medicare teams to drive growth and optimize member outcomes for DSNP populations

Responsibilities

• Manage executive Medicaid leadership team in the Indiana market, through which all plan associates report
• Develop strategies, formulate policies, and oversee operations to ensure the appropriate objectives and goals are met
• Represent Humana to the public, to plan members, to associates, to the state, and to subcontractors
• Drive a focus on the delivery of high-quality care and support
• Develop clear and measurable plan objectives, goals, and ideas
• Establish and maintain a diverse, inclusive, and respectful environment
• Promote a culture of health and well-being throughout the organization
• Ensure plan compliance with federal and state laws and programmatic requirements, including fraud, waste, and abuse; make decisions in an ethical manner
• Oversee operational policies and procedures
• Ensure long-term health plan financial success, sustainability, and growth
• Develop and adhere to budgets
• Resolve urgent and emergency matters in a fair way according to applicable policies and procedures
• Work with Humana National support teams to infuse best practices from other states and drive new ideas and initiatives from across the Medicaid and healthcare industry
• Effectively support the growth of associates to enhance plan leadership and career development

Benefits

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees