Job Details
Medicaid Trend Strategy Advancement Advisor
**Become a part of our caring community and help us put health first**
The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.
The Medicaid Trend Strategy Advancement Advisor will oversee Medicaid market-specific trend strategies to support annual trend savings goal.
Responsibilities will include but not limited to the following:
· Provide guidance to market leadership (Market President, COO, CMO, CFO) on cross-market coordination and successful strategies in other states for trend mitigation
· Identify opportunities to expand a successful market initiative to multiple markets
· Stay up-to-date on emerging financials to assess when further mitigation strategies are needed in a state
· Work with market leadership to provide updates to senior leaders (segment SVPs) on market specific trend progress, emerging trends, and mitigation strategies
· Onboard new markets to the trend process, level set on expectations, and provide a playbook of levers for implementation opportunities
· Build strong relationships with market CFOs and trend leads
· Participate in market trend meetings and help markets connect the dots to other market or nationwide strategies and corporate levers
· Participate in market trend reviews and help markets jump off emerging experience and solve for unfavorable trends
· Lead market trend lead meetings to promote continuous engagement, communication of key deliverables, and awareness of market specific pipelines
· Maintain robust tracking of trend savings initiatives
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ 5 or more years Healthcare industry experience (payor or provider side)
+ 2 or more years of project leadership experience
+ Proficient with Excel, (pivots, formulas) Power Point, etc
+ Experience working with large data sets
+ Experience working in a matrixed organization
+ Experience presenting to leadership
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Management Consulting experience
+ Medicaid experience
**Additional Information**
US remote (must be able to work within the EST/CST time zone)
You must be authorized to work in the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role.
**_HireVue Statement_**
_As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule._
**_Work at Home Guidance_**
_To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:_
+ _At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested_
+ _Satellite, cellular and microwave connection can be used only if approved by leadership_
+ _Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense._
+ _Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job._
+ _Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information_
**_Social Security Task:_**
_Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from_ _Humana@myworkday.com_ _with instructions to add the information into the application at Humana's secure website._
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**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.
$115,200 - $158,400 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.
Application Deadline: 05-01-2025
**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 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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.
The Medicaid Trend Strategy Advancement Advisor will oversee Medicaid market-specific trend strategies to support annual trend savings goal.
Responsibilities will include but not limited to the following:
· Provide guidance to market leadership (Market President, COO, CMO, CFO) on cross-market coordination and successful strategies in other states for trend mitigation
· Identify opportunities to expand a successful market initiative to multiple markets
· Stay up-to-date on emerging financials to assess when further mitigation strategies are needed in a state
· Work with market leadership to provide updates to senior leaders (segment SVPs) on market specific trend progress, emerging trends, and mitigation strategies
· Onboard new markets to the trend process, level set on expectations, and provide a playbook of levers for implementation opportunities
· Build strong relationships with market CFOs and trend leads
· Participate in market trend meetings and help markets connect the dots to other market or nationwide strategies and corporate levers
· Participate in market trend reviews and help markets jump off emerging experience and solve for unfavorable trends
· Lead market trend lead meetings to promote continuous engagement, communication of key deliverables, and awareness of market specific pipelines
· Maintain robust tracking of trend savings initiatives
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ 5 or more years Healthcare industry experience (payor or provider side)
+ 2 or more years of project leadership experience
+ Proficient with Excel, (pivots, formulas) Power Point, etc
+ Experience working with large data sets
+ Experience working in a matrixed organization
+ Experience presenting to leadership
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Management Consulting experience
+ Medicaid experience
**Additional Information**
US remote (must be able to work within the EST/CST time zone)
You must be authorized to work in the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role.
**_HireVue Statement_**
_As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule._
**_Work at Home Guidance_**
_To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:_
+ _At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested_
+ _Satellite, cellular and microwave connection can be used only if approved by leadership_
+ _Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense._
+ _Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job._
+ _Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information_
**_Social Security Task:_**
_Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from_ _Humana@myworkday.com_ _with instructions to add the information into the application at Humana's secure website._
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**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.
$115,200 - $158,400 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.
Application Deadline: 05-01-2025
**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 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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Job #NLX274962289