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Medicaid State Implementation Lead – WAH

Humana

This is a Full-time position in Glen Allen, VA posted June 7, 2021.

**Description**The Medicaid State Implementation Lead provides support to existing and new Medicaid implementations.**Responsibilities**The Medicaid State Implementation Lead works on projects of diverse scope and complexity with potential revenue projections over a Billion dollars.

Critical thinking is required and this position is responsible for being a thought leader able to influence change and implement large-scale programs.+ Develop internal and external partnerships and related strategies to meet requirements of varying dual eligible and Medicaid models.+ Work collaboratively with a variety of cross-functional teams and thought leaders to deliver committed program capability.+ New Business Development
– primary responsibilities include:+ As a representative of the Medicaid Implementation team, provide strategic leadership as we evaluate market entry strategies in pipeline markets and respond to Requests for Proposals for new lines of business.+ Participate in the RFP Response process along with the Business Development team working closely with cross-functional Medicaid leaders to shape the Strategy and commitments.+ Identify new and innovative opportunities and programs and work across the Medicaid leadership team to develop a plan to implement them.+ New State and/or contract re-procurements
– primary responsibilities include:+ Developing and executing on the end-to-end business implementation model+ State relationship management throughout the implementation process+ Support new Market resources upon onboarding+ Participate in business requirements sessions ensure all requirements are accounted for including maintenance and requirements tractability.

.+ Implementation Schedule creation and maintenance+ Executive summary status reporting and issue/risk escalation+ Owns key Project Meetings with Stakeholders and Leadership.+ Actively participate in Business Readiness Validation and State Readiness Review.+ Ensure compliance with coordinating CMS and State Medicaid regulations.**Required Qualifications:**+ Bachelor’s degree or equivalent experience.+ 3
– 5 years’ experience with Medicaid/Medicare operations/healthcare experience.+ 5
– 7 years managing large scale projects and cross functional teams.+ Success in developing working relationships within a highly matrixed business environment.+ Ability to analyze data and make informed recommendations.+ Experience managing and facilitating with the ability to influence without having authority.+ 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, fosters quality in others.+ Accepts responsibility, is self-motivated and accountable for achieving implementation and market satisfaction goals.+ Works within deadlines, demonstrates independence, resourcefulness and self-management skills.+ Works well within an ambiguous environment where direction is always subject change.+ Ability to flow to the work as capacity demands change.**Preferred Qualifications:**+ Master’s degree.+ Experience responding to state and/or federal government solicitations.+ Knowledge of Humana’s internal policies, procedures and systems.**Scheduled Weekly Hours**40