VP Medicaid Regional President - Indiana

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

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Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com