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Director, Long-Term Supports and Services Strategy

Remote US

Become a part of our caring community and help us put health first
 Humana Healthy Horizons is seeking a Director, Long-Term Supports and Services (LTSS) Strategy who will oversee day-to-day operations of the Medicaid Program Transformation, LTSS program, implementing strategic plans and fostering key relationships with stakeholders. This role will promote intradepartmental and cross market coordination, data and trend analysis, and quality improvements, establishing long range goals, objectives, and plans that evolve along with Medicaid’s strategic priorities and the needs of members, providers, and regulatory partners.

Position Responsibilities:

  • When given National Medicaid Strategic Priorities, develops and executes LTSS strategies to drive sustainable and profitable growth and improve health outcomes.  
  •  Support strategic goals and turn those goals into specific operating and business plans that are executed in partnership with Market Teams. 
  • Deliver value to new markets by leading development of LTSS business infrastructure to include staffing models, job descriptions, program descriptions, policies and procedures, audit tools, training content, and more as needed to support implementation of successful LTSS operations.  
  • Drive standardization of LTSS best practices and capabilities across markets.  
  • Develop and maintain reporting mechanisms to track, trend, and monitor success of the LTSS programs across states and effectiveness of LTSS initiatives. 
  • Lead end-to-end deployment of LTSS capabilities including: 
    • Participation and key SME input to develop national and market staffing models. 
    • Vendor selection, development of operating model, oversight of implementation and ongoing monitoring.  
    • Support community partnership deployment including innovative models with AAAs and CILs to bring the strongest programmatic support to members and caregivers. 
  • Lead strategic guidance for the build and oversight of a national utilization model to drive effective and efficient use of LTSS services which are both person-centered and strength-based, empowering members to be independent through the removal of barriers and the prioritization of community engagement.  
  • Develop effective strategies supporting grievance, appeals, and fair hearings into overall LTSS Operating Model.  
  • Lead and influence functional partners by fostering collaborative partnerships. 
  • Influence and negotiate effectively to arrive at win-win solutions. 
  • Communicate and present effectively, listen actively and attentively to others, and convey genuine interest. 
  • Ability to lead by example and hold employees accountable to complete the tasks they are assigned and to perform the duties of their jobs. 
  • Own execution of daily operating objectives and goals, including key performance metrics or Objectives and Key Results. 
  • Lead change and innovation by demonstrating emotional resilience, managing change by proactively communicating the case for change …
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Job Profile

Regions

North America

Countries

United States

Benefits/Perks

401(k) retirement savings plan 401(k) retirement savings plan with employer match Bonus incentive plan Career development opportunities Competitive benefits Dental Employee charity matching Employee charity matching program Health benefits Health benefits effective day 1 Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Recognition pay Scholarships Scholarships for eligible dependents Time off Tuition Assistance Vision Vision Benefits Volunteer time Volunteer time off

Skills

Accounting BI Business Collaboration Community Engagement Data Data analysis Healthcare HIPAA Innovation Leadership Lean Medicaid Medicare Network Nursing Operations Prioritization Process Improvement Public health Quality improvement Recruitment Reporting Security Six Sigma Strategic planning Strategy Teams Technology Training Vendor Management Wellness

Tasks
  • Process Improvement
  • Reporting
  • Training
Experience

3 - 5 years

Education

Accounting Business Education MBA Nursing Public health Related Field Sociology

Certifications

Six Sigma

Restrictions

Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Montana Remote US South Dakota Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9