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Humana Director, Long-Term Supports and Services Strategy in Helena, Montana

Become a part of our caring community and help us put health first

Humana Healthy Horizons is seeking a Director, Long-Term Supports and Services (LTSS) Strategy who will oversee day-to-day operations of the Medicaid Program Transformation, LTSS program, implementing strategic plans and fostering key relationships with stakeholders. This role will promote intradepartmental and cross market coordination, data and trend analysis, and quality improvements, establishing long range goals, objectives, and plans that evolve along with Medicaid's strategic priorities and the needs of members, providers, and regulatory partners.

Position Responsibilities:

  • When given National Medicaid Strategic Priorities, develops and executes LTSS strategies to drive sustainable and profitable growth and improve health outcomes.

  • Support strategic goals and turn those goals into specific operating and business plans that are executed in partnership with Market Teams.

  • Deliver value to new markets by leading development of LTSS business infrastructure to include staffing models, job descriptions, program descriptions, policies and procedures, audit tools, training content, and more as needed to support implementation of successful LTSS operations.

  • Drive standardization of LTSS best practices and capabilities across markets.

  • Develop and maintain reporting mechanisms to track, trend, and monitor success of the LTSS programs across states and effectiveness of LTSS initiatives.

  • Lead end-to-end deployment of LTSS capabilities including:

  • Participation and key SME input to develop national and market staffing models.

  • Vendor selection, development of operating model, oversight of implementation and ongoing monitoring.

  • Support community partnership deployment including innovative models with AAAs and CILs to bring the strongest programmatic support to members and caregivers.

  • Lead strategic guidance for the build and oversight of a national utilization model to drive effective and efficient use of LTSS services which are both person-centered and strength-based, empowering members to be independent through the removal of barriers and the prioritization of community engagement.

  • Develop effective strategies supporting grievance, appeals, and fair hearings into overall LTSS Operating Model.

  • Lead and influence functional partners by fostering collaborative partnerships.

  • Influence and negotiate effectively to arrive at win-win solutions.

  • Communicate and present effectively, listen actively and attentively to others, and convey genuine interest.

  • Ability to lead by example and hold employees accountable to complete the tasks they are assigned and to perform the duties of their jobs.

  • Own execution of daily operating objectives and goals, including key performance metrics or Objectives and Key Results.

  • Lead change and innovation by demonstrating emotional resilience, managing change by proactively communicating the case for change and promoting a culture that thrives on change.

  • Effectively represent the Medicaid Program Transformation (MPT), LTSS team in discussions/processes within and external to Humana.

  • Demonstrate servant leadership skills and emotional intelligence skills.

  • Personal accountability and commitment to continuously improve the associate experience.

  • Plan departmental growth and potential staff successions; enable succession through the investment in team culture, learning and development.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree in Gerontology, Sociology, Nursing, Public Health, or another related field plus work experience of three (3) to five (5) years leading or operating a managed long term care or LTSS program OR five (5) to seven (7) years of prior experience leading or operating a managed long term care or LTSS program.

  • Experience in strategic and thought leadership in supporting Medicaid health plans.

  • Three (3) years of experience directly leading teams and departmental activities to ensure accurate and timely accounting, financial and statistical reports.

Preferred Qualifications

  • Two (2) years of experience leading integrated LTSS programs such as PACE, FIDE SNP, or other similar models.

  • MBA, MHA or equivalent.

  • Experience in process improvement - Six Sigma/Lean Concepts.

Additional Information

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.

  • Travel: up to 20% travel will be required.

  • Typical Work Days/Hours: must be available to work Monday - Friday, 8 am - 5 pm Eastern Standard Time zone (EST).

  • Direct Reports: 3 direct reports

WAH Internet Requirements

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

  • Health benefits effective day 1

  • Paid time off, holidays, volunteer time and jury duty pay

  • Recognition pay

  • 401(k) retirement savings plan with employer match

  • Tuition assistance

  • Scholarships for eligible dependents

  • Parental and caregiver leave

  • Employee charity matching program

  • Network Resource Groups (NRGs)

  • Career development opportunities

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

#LI-JP1

Nationwide Remote - This is a remote nationwide position.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$164,700 - $226,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

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