Humana

About Humana

 

Job Category:

Enterprise Development - Strategy

Country:

United States

Postal Code:

40201

Approximate Salary:

Not Specified

Position Type:

Full Time

Senior Strategy Advancement Professional

Humana - Louisville, Kentucky

Posted: 07/28/2018

Description

The Senior Strategy Advancement Professional 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 Senior Strategy Advancement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Strategy Advancement Professional 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. Ensures that policies and procedures align with corporate vision. Selects, develops, and evaluates personnel ensuring efficient operation of the function. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

               

The Strategy Advancement Professional is responsible for the following:

• Manage the development of RFP narrative responses for Provider Network build assigned questions
• Project Manage provider network builds for new business opportunities
• Support strategies and innovative approaches to evolving Medicaid/LTSS/Duals provider marketplace
• Coordinate and collaborate with Medicaid leadership, business partners, and market leadership on network build and adequacy reporting progress
• Partner closely with National and Market Contracting teams to anticipate level of resources needed, develop project plan and roadmap to success for network build and provider management
• Understand network build requirements and analyze network adequacy in order to help secure strong competitive networks in anticipation/response to RFPs
• Define the scope of network builds project and coordinate activities to achieve business objectives within a pre-determined timeframe
• Interpret state requirements for RFP network file submissions
• Plan, analyze, anticipate and mitigate constraints, risks, and issues; and adjust existing systems, processes, and capabilities to achieve results

Required Qualifications

  • Bachelor's degree or equivalent or 4+ years of experience
  • Project management experience
  • At least one year of experience in the health insurance industry
  • Experience working with MS Office Suite, specifically Word and Excel  
  • Ability to collaborate effectively with personnel at all levels, from administrative support to subject matter experts to leadership
  • Strong leadership, organizational planning, prioritization, and time management skills; the ability to multitask and work against strict deadlines(i.e. – occasional nights and weekends)
  • Flexibility in the face of rapidly changing circumstances
  • Strong reading comprehension and writing skills
  • Strong project management skills with high personal accountability
  • Must be organized and able to work with accuracy and efficiency on multiple projects with multiple teams simultaneously
  • Experience in a deadline-driven environment with high attention to detail and compliance
  • Must be detail-oriented, self-motivated, and possess a quality customer service attitude
  • Desire to join a high-functioning, collaborative, and supportive team culture

Preferred Qualifications

  • 5+ years of Medicaid experience
  • 5+ years of network development experience
  • PMP

Role will include travel (10-20% of time)

This position reports to the Medicaid Business Development Network Strategy Leader.

Scheduled Weekly Hours

40

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