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 Strategy Advancement Advisor is responsible for the following:
Coordinate business partners and collaborate with Medicaid leadership to develop and adapt delivery models (clinical, operational, behavioral health).
Develop clinical and/or operational strategies to exceed regulatory requirements and successfully position Humana’s Medicaid/LTSS/Dual products in the marketplace.
Gather key information on market and regulatory landscape in prospective new markets to inform product build.
Attend professional conferences to enhance knowledge and understanding.
Engage in stakeholder and provider/association level relationship development meetings in current and prospective new markets.
Translate state administrative code language and procurement requirements to understand state’s ultimate vision.
Define Humana’s delivery model (clinical, operational, behavioral health) and translate into winning proposals.
Ensure compliance with all state and federal laws in development process.
Oversee project plans, project schedules, resource assignment matrixes, etc. at the outset of each bid.
Drive timely completion of internal/external deliverables by cross functional project team.
Track project status and report on progress to leadership.
Help develop materials for internal and external presentations and communications regarding Humana’s business goals, market strategy, policy, positioning, and outcomes in the Medicaid and Dual Eligible marketplace.
1 - 3 years’ experience in a Medicaid or Medicare Managed Care Organization
1 - 3 years’ experience leading projects & cross functional teams
1 - 3 years’ consulting experience
Comprehensive knowledge of Microsoft Office Products (Word, Excel, PowerPoint, Visio)
Ability to operate in a faced paced environment under tight deadlines
Flexible scheduling (i.e. – occasional nights and weekends)
Bachelor’s Degree in Nursing (BSN)
1 – 3 years’ experience in Medicaid/LTSS Operations
1 – 3 years’ experience in Medicaid/LTSS Clinical or BH Programs
1 – 3 years’ experience in Medicaid/LTSS Strategy and/or Business Development
Project Management and Process Improvement qualifications
Role will include travel (10-20% of time)
Scheduled Weekly Hours
Equal Opportunity Employer
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