Director, Medicaid Customer Success

Humana

9d • Remote

About The Position

Become a part of our caring community and help us put health first The Director, Medicaid Customer Success analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Medicaid Customer Success requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Medicaid Customer Success researches best business practices within and outside the organization to establish benchmark data. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. Make decisions with impact to client relationships and Humana financials. Manage a team of Leads that oversee day to day strategy and operations for each Medicaid state. Must be able to influence to VP level internally and all client levels. Oversee prioritization of all work within the Medicaid portfolio. Make decisions on future staffing needs within HPS to support Medicaid growth. Use your skills to make an impact

Requirements

• Master's Degree or equivalent experience
• 8 or more years of managed care or PBM experience
• 5 or more years of management experience
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Nice To Haves

• 2 or more years of client management experience

Responsibilities

• Analyze and measure the effectiveness of existing business processes
• Develop sustainable, repeatable and quantifiable business process improvements
• Research best business practices within and outside the organization to establish benchmark data
• Collect and analyze process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity and reduced cost
• Determine how new information technologies can support re-engineering business processes
• Implement strategic plans, drive goals and objectives, and improve performance
• Provide input into functions strategy
• Make decisions with impact to client relationships and Humana financials
• Manage a team of Leads that oversee day to day strategy and operations for each Medicaid state
• Influence to VP level internally and all client levels
• Oversee prioritization of all work within the Medicaid portfolio
• Make decisions on future staffing needs within HPS to support Medicaid growth

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director