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Medicaid Market Development Advisor

Humana
Columbus, OH Full Time
POSTED ON 1/12/2025
AVAILABLE BEFORE 4/7/2025

Become a part of our caring community and help us put health firstThe Medicaid Market Development Advisor provides support to assigned health plan and / or specialty companies relative to Medicare / Medicaid / TRICARE / Employer Group 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 resource on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding corporate Medicare / Medicaid / TRICARE / Employer Group performance benchmarks. Maintains relationships with regulators within a region. 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.Use your skills to make an impactRequired QualificationsBachelor's degree or equivalent3 - 5 years experience with Medicaid / Medicare / Employer Group operations3 - 5 years managing large scale projects and cross functional teamsSuccess in developing working relationships within a highly matrixed business environmentAbility to analyze data and make informed recommendationsMust be passionate about contributing to an organization focused on continuously improving consumer experiencesProcurement negoitation experienceExperience with RFP's / RFXTravel up to 10% (depending on business needs)Proficient in MS Office products specifically Excel, Word, & PowerPointPreferred QualificationsMaster's degreeExperience responding to state and / or federal government solicitationsExperience developing relationships with key stakeholders to understand and improve the marketCertification with Six Sigma and / or the Project Management Institute / CPSM® Certified Professional in Supply Management® ()Additional InformationScheduled Weekly Hours40Pay RangeThe 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.$94,900 - $130,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.Description of BenefitsHumana, 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.Application Deadline : 12-14-2024About usHumana 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 EmployerIt 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 veteran status. 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.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Salary : $94,900 - $130,500

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