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VP Regional Medicaid President - Multiple Locations Location Indianapolis, IN, United States Posted on Dec 07, 2022 Apply for this job your email: upload resume: Profile Description Humana is expanding its Medicaid footprint. We are seeking Medicaid State Leaders. The State Market Leader will be based in IN, TX, VA or GA and will be the primary
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VP Medicaid Regional President - Indiana Location
Indianapolis, IN, United States
Employment Type
Full-Time
Posted on
Jul 01, 2022
Apply for this job
your email:
upload resume:
Profile
Description
Humana's Indiana Medicaid State Market Leader will be responsible for the overall strategic direction, oversight, and administration of our managed long-term services and supports (MLTSS) program in Indiana. They will lead the Humana Indiana Medicaid executive team and report directly to Humana's National Medicaid President. The State Market Leader will be based in Indiana and will be the primary contact for the Indiana Family and Social Services Administration (FSSA) and its Medicaid agency, Office of Medicaid Policy and Planning (OMPP) regarding all issues and will coordinate with other key personnel to fulfill programmatic requirements. They will publicly represent Humana Medicaid in Indiana while enhancing and further developing relationships with stakeholders throughout the state.
Responsibilities
The VP, Medicaid Regional President manages the development, operations, and results of a health plan and requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise wide.
Essential Functions and 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 network providers, to associates, to Indiana FSSA and OMPP, and to subcontractors
Drive a focus on the delivery of high-quality care and supports
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
Serve as chairperson of the Member Advisory Council
Required Education, Certification, & Experience Qualifications
Bachelor's degree in Business, Healthcare Administration, or related field
Reside or commute daily into Indianapolis
5 years or more Medicaid experience
3 years or more LTSS experience
Preferred Experience Qualifications
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
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
Oversight and responsibility of P/L
Master's degree in Business, Healthcare, Public Health, or related field
#LI-MR1
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com
DescriptionResponsibilitiesThe LTSS Program Manager (aka RVP, Operations/ COO) is dedicated full-time to the Indiana Pathways Program. The LTSS Program Manager (aka RVP, Operations/ COO) oversees day-to-day operations of the I...
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Email Alert for VP Medicaid Regional President - Indiana jobs in Indianapolis, IN, United States
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