Medicaid Market Development Advisor
Remote US, United States
The Medicaid Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicaid 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 categories and third parties. Ensures that assigned health plans are meeting or exceeding corporate Medicaid 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 impact
Required Qualifications
- Bachelor's degree or equivalent
- 3 - 5 years experience with Medicaid or Medicare operations
- 3 - 5 years managing large scale projects and cross functional teams
- Success in developing working relationships within a highly matrixed business environment
- Ability to analyze data and make informed recommendations
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- Procurement negotiation and contracting experience
- Experience with RFP's / RFX
- Travel up to 10% (depending on business needs)
- Proficient in MS Office products specifically Excel, Word, & PowerPoint
Preferred Qualifications
- Master's degree
- Experience responding to state and/or federal government solicitations
- Experience developing relationships with key stakeholders to understand and improve the market
- Certification with Six Sigma and/or the Project Management Institute/ CPSM® Certified Professional in Supply Management®
Additional Information
Scheduled Weekly Hours
40Pay 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.
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 …This job isn't fresh anymore!
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Remote US
Benefits/Perks401(k) 401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Competitive benefits Dental Disability Disability Insurance Health first Holidays Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Parental leave Personal holidays Smart healthcare decisions Support whole-person well-being Time off Vision Vision Benefits Volunteer time Volunteer time off
Tasks- Analysis
- Analyze data
- Compliance
- Decision making
- Develop functional strategies
- Ensure compliance with regulations
- Project management
- Training
Analysis Business Compensation Compliance Consumer Experiences Contract Compliance Contracting Contract Negotiation Data Data analysis Decision making Dental Education Excel Functional strategies Healthcare Healthcare services Implementation Insurance IT Life Insurance Management Medicaid Medicare MS Office Negotiation Operations Organization Policy PowerPoint Procurement Project Management Recruitment Regulations RFP Six Sigma Supervision Support Teams Training Travel Vision Wellness Word
Experience3 - 5 years
EducationAssociate Bachelor Bachelor's Bachelor's degree Business Education Equivalent Healthcare Higher IT Management Master's Master's degree MS Operations
CertificationsCPSM Project Management Six Sigma
TimezonesAmerica/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