Strategy Advancement Advisor (FIDE SNP) - Virginia Medicaid - Humana
Boston, MA
About the Job
Become a part of our caring community and help us put health first
Humana Healthy Horizons in Virginia is seeking a Strategy Advancement Advisor (FIDE SNP) who will provide data-based strategic direction to identify and address business issues and opportunities for Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP). They will provide business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor (FIDE SNP) works on problems of diverse scope and complexity ranging from moderate to substantial.
The Strategy Advancement Advisor (FIDE-SNP) will:
+ Support all priority health plan and care delivery integration workstreams for the Virginia Medicaid contract, which is central to the company's strategic priority to deliver better health outcomes for our members and financial growth for our company.
+ Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open Enrollment and Annual Enrollment Strategy, Plan Benefit Development, Plan Filing Strategy, Model of Care, CMS Memos and Assessment of Compliance impacts, STARS strategy including activities driven by care management and Call Center secret shopper, Member Material strategy including AIP Model Docs, Member ID Cards, ANOCs, EOCs and more, and SNP Governance.
+ Promote strategic alignment across leadership, educate Virginia Medicaid market leaders on the strategy and targeted outcomes, and support the Integration team through presentation development, change management, and communication.
+ Manage FIDE SNP program learning agendas.
+ Capacity to learn the Integration strategy quickly and works collaboratively with VA Medicaid market teams and Humana cross-enterprise teams.
+ Lead projects from end-to-end and develops opportunity cases.
+ Participate in the Department of Medical Assistance Services (DMAS) mandated Dual Special Needs Plan (DSNP) collaboratives.
+ This role will have a dotted line reporting relationship into the National Medicaid Integrated Operations Team which will support coordination with all activities in accordance with Humana's national strategic priorities for dual eligible health plan operations.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree and a minimum of five (5) years of progressive experience managing large scale projects OR equivalent work experience with a minimum of eight (8) years of progressive experience managing large scale projects.
+ A minimum of three (3) years of experience with strategy execution from conception to implementation.
+ Experience with Medicare Advantage and Dual Special Needs Plans.
+ Financial and/or operational experience across Senior Primary Care, Medicare Advantage, Medicaid, Pharmacy, or Home.
+ Understands the build, measures, learns and tests frameworks.
+ Strong communication skills, both written and verbal, for completion of team correspondence, meeting minutes, and status reports to varying levels of the organization.
+ Strong collaboration and facilitation skills to lead project teams and meetings throughout the project lifecycle.
+ Strong time management that allows for working independently.
+ Strong analytical and reasoning skills to lead project teams to solutions and alternatives.
+ Demonstrated ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers.
+ Must be able to travel to the Glen Allen, VA office and DMAS periodically for meetings ( _see "Additional Information" section for details)._
Preferred Qualifications
+ A minimum of five (5) years of experience working within a health plan or a care delivery organization.
+ Progressive experience managing portfolios of similar projects.
+ Experience conducting industry, market, competitor, and financial analysis and identify insights.
Additional Information
+ Workstyle: This is a remote position that will require you to travel.
+ Travel: Up to10% of the time to Humana Healthy Horizons office in Glen Allen, VA for collaboration and face to face meetings as well as to DMAS for regulatory meetings.
+ Typical Workdays and Hours: Monday - Friday; 8:00am - 5:00pm _Eastern Standard Time (EST)._
Work at Home (WAH) Internet Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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.
+ Employees 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 employees 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.
Interview Format
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.
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.$112,400 - $154,900 per yearThis 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.
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 because he or she is a protected veteran. 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.
Humana Healthy Horizons in Virginia is seeking a Strategy Advancement Advisor (FIDE SNP) who will provide data-based strategic direction to identify and address business issues and opportunities for Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP). They will provide business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor (FIDE SNP) works on problems of diverse scope and complexity ranging from moderate to substantial.
The Strategy Advancement Advisor (FIDE-SNP) will:
+ Support all priority health plan and care delivery integration workstreams for the Virginia Medicaid contract, which is central to the company's strategic priority to deliver better health outcomes for our members and financial growth for our company.
+ Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open Enrollment and Annual Enrollment Strategy, Plan Benefit Development, Plan Filing Strategy, Model of Care, CMS Memos and Assessment of Compliance impacts, STARS strategy including activities driven by care management and Call Center secret shopper, Member Material strategy including AIP Model Docs, Member ID Cards, ANOCs, EOCs and more, and SNP Governance.
+ Promote strategic alignment across leadership, educate Virginia Medicaid market leaders on the strategy and targeted outcomes, and support the Integration team through presentation development, change management, and communication.
+ Manage FIDE SNP program learning agendas.
+ Capacity to learn the Integration strategy quickly and works collaboratively with VA Medicaid market teams and Humana cross-enterprise teams.
+ Lead projects from end-to-end and develops opportunity cases.
+ Participate in the Department of Medical Assistance Services (DMAS) mandated Dual Special Needs Plan (DSNP) collaboratives.
+ This role will have a dotted line reporting relationship into the National Medicaid Integrated Operations Team which will support coordination with all activities in accordance with Humana's national strategic priorities for dual eligible health plan operations.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree and a minimum of five (5) years of progressive experience managing large scale projects OR equivalent work experience with a minimum of eight (8) years of progressive experience managing large scale projects.
+ A minimum of three (3) years of experience with strategy execution from conception to implementation.
+ Experience with Medicare Advantage and Dual Special Needs Plans.
+ Financial and/or operational experience across Senior Primary Care, Medicare Advantage, Medicaid, Pharmacy, or Home.
+ Understands the build, measures, learns and tests frameworks.
+ Strong communication skills, both written and verbal, for completion of team correspondence, meeting minutes, and status reports to varying levels of the organization.
+ Strong collaboration and facilitation skills to lead project teams and meetings throughout the project lifecycle.
+ Strong time management that allows for working independently.
+ Strong analytical and reasoning skills to lead project teams to solutions and alternatives.
+ Demonstrated ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers.
+ Must be able to travel to the Glen Allen, VA office and DMAS periodically for meetings ( _see "Additional Information" section for details)._
Preferred Qualifications
+ A minimum of five (5) years of experience working within a health plan or a care delivery organization.
+ Progressive experience managing portfolios of similar projects.
+ Experience conducting industry, market, competitor, and financial analysis and identify insights.
Additional Information
+ Workstyle: This is a remote position that will require you to travel.
+ Travel: Up to10% of the time to Humana Healthy Horizons office in Glen Allen, VA for collaboration and face to face meetings as well as to DMAS for regulatory meetings.
+ Typical Workdays and Hours: Monday - Friday; 8:00am - 5:00pm _Eastern Standard Time (EST)._
Work at Home (WAH) Internet Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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.
+ Employees 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 employees 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.
Interview Format
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.
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.$112,400 - $154,900 per yearThis 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.
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 because he or she is a protected veteran. 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.
Source : Humana