Operations
Company: Humana
Location: Bridgeport
Posted on: May 3, 2021
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Job Description:
**Description** Job Description Summary The Medicaid Operations Strategy Execution/Advancement Principal
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 Execution/Advancement Principal provides
strategic advice and guidance to functional team(s). Highly skilled
with broad, advanced technical experience. **Responsibilities** The Medicaid Operations Strategy Execution/Advancement Principal
leads initiatives to analyze complex business problems and issues
using data from internal and external sources. Brings expertise or
identifies subject matter experts in support of multi-functional
efforts to identify, interpret, and produce recommendations and
plans based on company and external data analysis. Works with
senior executives to develop and drive segment or enterprise-wide
functional strategies. Advises one or more areas, programs or
functions and provides recommendations to senior executives on
matters of significance, and as an advanced subject matter expert
competent to work at very high levels in multiple knowledge and
functional areas across the enterprise.Primary responsibilities
include: + Defining and building a repeatable model for Medicaid new
state implementations, state contract reprocurements and plan
acquisitions. + Evaluate current implementation delivery process identifying
improvement opportunities, document proposed future state project
delivery process and align key stakeholders to the vision. + Prioritize process improvement opportunities and develop plans
to implement the identified changes. + Further define how we partner with internal shared services
teams and implement processes for measuring and monitoring
implementation activities. + Partner with the Medicaid PMO and Operations leaders to
further define cross functional team process improvement and
coordination. + Document Medicaid program implementation and PMO process
playbook. **Required Qualifications** + Bachelor's degree, or 5+ equivalent work experience + 5+ years of experience working in healthcare operations
leading cross functional or implementation teams + 5+ years of progressive leadership experience leading
continuous improvement efforts, evaluating existing systems and
implementing process improvements. + 2+ years Medicaid plan operations experience + Experience problem solving and consultation within complex
environments + Possess a solid understanding of operations, technology,
communications and processes + Act as a thought leader with strong verbal and written
communication skills (ability to interact effectively with people
at all levels within a team or internal division) + Strong critical thinking, problem solving skills; detailed and
well organized + Demonstrates accuracy and thoroughness, identifies process
improvements, and fosters quality in others **Preferred Qualifications** + 2+ years Health Plan integration experience + Working Knowledge of Systems Development Life Cycle,
Waterfall, and Agile Development Methodologies **Additional Information** **Scheduled Weekly Hours** 40
Keywords: Humana, Bridgeport , Operations, Other , Bridgeport, Connecticut
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