Lead-Market Development Advisor

📋 Description

• • As a Lead-Market Development Advisor at Humana Inc., you will play a pivotal role in the successful implementation and ongoing operational success of our Medicaid products nationwide. This remote position offers a unique opportunity to contribute to a leading healthcare company dedicated to putting health first for millions of individuals.
• • Your primary responsibility will be to provide comprehensive support for Medicaid product implementation, ensuring seamless operations, strict adherence to contract compliance, and meticulous management of federal contract application submissions. This role involves navigating complex scenarios where in-depth analysis of variable factors is crucial for effective decision-making and problem-solving.
• • You will collaborate closely with Medicaid Leadership to clearly define client deliverables and set expectations, fostering a shared understanding of project goals and outcomes. Building and maintaining strong, collaborative relationships across all Humana Pharmacy Solutions (HPS) Operational areas will be essential for ensuring the smooth execution of client deliverables and addressing any interdependencies.
• • A key aspect of your role will be to meticulously track all documentation related to issues, action items, deliverables, and critical decisions. This rigorous documentation practice ensures accountability, transparency, and a clear historical record for future reference and audits.
• • You will be responsible for leading critical calls, meetings, and discussions focused on developing robust action plans to address identified challenges and opportunities. This leadership extends to actively monitoring the progress of these action plans and driving them to successful resolution, ensuring that commitments are met in a timely and effective manner.
• • A proactive approach to identifying potential client issues before they escalate is paramount. Your ability to anticipate challenges and implement preventative measures will be vital in maintaining high levels of client satisfaction and operational efficiency.
• • You will assume day-to-day operational oversight, which includes the critical task of issue resolution at the member, client, or state level. This requires a deep understanding of Medicaid operations and the ability to navigate diverse stakeholder needs.
• • The role demands the ability to effectively engage leadership through timely and well-articulated escalations, ensuring that significant issues are brought to the attention of the appropriate decision-makers for swift resolution.
• • You will manage the entire lifecycle of deliverables, from the initial implementation phase through to the ongoing 'run the business' operations, ensuring continuity and sustained performance.
• • This position requires a strategic mindset to develop and improve market presence, working with key stakeholders to understand and enhance the market landscape for Humana's Medicaid offerings.
• • You will leverage your analytical skills to interpret data, identify trends, and formulate informed recommendations that drive strategic improvements in product offerings and operational processes.
• • Contributing to an organization that is passionately committed to continuously improving consumer experiences is a core tenet of this role. Your work will directly impact the quality of care and service provided to vulnerable populations.
• • The Lead-Market Development Advisor will be instrumental in ensuring Humana's compliance with all relevant state and federal regulations pertaining to Medicaid programs, safeguarding the company's reputation and operational integrity.
• • This role is ideal for an individual who thrives in a dynamic, results-oriented environment and possesses a strong understanding of the healthcare landscape, particularly within the Medicaid sector.
• • You will be a key liaison between operational teams, leadership, and external stakeholders, ensuring clear communication and alignment throughout all projects and initiatives.
• • The ability to manage multiple priorities simultaneously and adapt to changing business needs will be essential for success in this multifaceted role.
• • Ultimately, you will contribute to Humana's mission of helping people achieve their best health by ensuring the effective and efficient delivery of our Medicaid products and services.
• • This position requires a high degree of autonomy and the ability to work effectively in a remote setting, demonstrating strong self-management and organizational skills.
• • You will be a critical part of a team focused on growth and market penetration within the competitive Medicaid landscape.
• • Your insights and actions will directly influence the strategic direction and operational effectiveness of Humana's Medicaid business unit.
• • The role involves continuous learning and adaptation to the evolving regulatory and market dynamics within the healthcare industry.
• • You will be empowered to make impactful decisions and drive change within your area of responsibility.
• • This is an opportunity to build a career within a stable and growing organization that values its employees and their contributions to improving healthcare access and quality.