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Humana

National Medicaid Operations - Organization Effectiveness Lead

Remote

Become a part of our caring community and help us put health first


Humana Medicaid is seeking an exceptional candidate to join our National Medicaid Operations Strategy Organization to support the strategic direction and growth of the Medicaid line of business. This position provides a unique opportunity for a motivated individual to be instrumental in championing change as we modernize our ways of working to execute on effective and sustainable operations capabilities.
The Medicaid Operations Strategy team serves as the guiding force to align operational intricacies with overarching strategic objectives, ensuring sustainable business growth by delivering unique value to our customers and driving scalable, efficient operational processes. As a centrally positioned strategic function this team coordinates with partners across the enterprise and within our Medicaid Markets to advance our National Operating Model and accelerate strategy execution. We deliver value by making connections across our diverse stakeholders, facilitating effective and scalable strategy planning activities, data-driven insights, structured problem solving, and change management rigor.

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We are a diverse set of highly skilled people with deep Strategy expertise and broad 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:
• Strategic - Forward thinking capable of providing frameworks to maximize ability of limited resources to achieve growth.
• Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem solving.
• Adaptive - Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances.
• Self-sufficient - Ability to navigate complex situations and independently produce high quality deliverables.
• Consultative - Build/sustain relationships and inform the work of others through actionable, objective insights.

The Medicaid Operations Organization Effectiveness Lead will play a pivotal role in driving transformative change initiatives within Humana's Medicaid National Operating Model. You will collaborate closely with Medicaid Segment and Market leadership, as well as operational subject matter experts, to facilitate the seamless integration of change initiatives and optimize value delivery and operational efficiencies.

Candidates will possess strong change management planning and execution expertise and broad experience in Medicaid managed care operations. Areas of focus include Scaled Agile Framework (SAFe), Lean Portfolio Management.

Key responsibilities include:

  • Lead Change Initiatives: Spearhead the development and execution of change management strategies to support large-scale operational and organizational improvement opportunities. Integrate data-driven insights, cost-benefit analysis, and strategic considerations to drive informed decision-making and facilitate impactful change initiatives.
  • Strategic Alignment: Collaborate with segment leaders and shared service teams to ensure that change initiatives align with overall segment strategy. Provide guidance and support to teams in setting ambitious yet achievable goals that contribute to the organization's strategic objectives.
  • Meeting Facilitation: Lead the establishment of effective change management meeting cadences, ensuring regular reviews and adjustments to drive execution and maintain alignment across cross-functional teams.
  • Cross-Functional Collaboration: Work closely with cross-functional teams to drive execution of highly complex change initiatives. Analyze progress, identify obstacles, and develop solutions to ensure successful execution.
  • Culture of Accountability: Foster a culture of accountability and transparency surrounding the performance of change initiatives across all relevant stakeholders.
  • Strategic Roadmap: Translate segment and team strategies into actionable change management plans, ensuring strategic alignment and value delivery. Utilize knowledge or experience with change management frameworks to optimize the change management roadmap and enhance overall organizational agility.
  • Executive Collaboration: Leverage executive presence and consulting experience to collaborate effectively with senior leadership, providing strategic insights and contributing to high-level decision-making processes.


Use your skills to make an impact


Required Qualifications

  • Bachelor's Degree with a strong record of academic achievement
  • 8+ years' experience in change management and/or Agile Coach consulting
  • Experience and understanding of the Medicaid ecosystem, managed care health services operations, business development lifecycle, and large-scale operations functions
  • 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)
  • Excellent verbal and written communication and presentation skills

Preferred Qualifications

  • 3+ years' experience in a Medicaid or Medicare Managed Care Organization
  • Master's Degree in Public Health or Health Administration programs
  • MBA programs with a specialization in Healthcare Management
  • Project Management, Process Improvement, Change Management qualifications
  • SAFe and Lean Portfolio Management qualifications

Scheduled Weekly Hours

40

Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$102,200 - $140,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of 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.


About us


Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Job ID: humana-R-338639
Employment Type: Full Time