Medicaid State Technology Lead

Humana

9d • Remote

About The Position

Become a part of our caring community and help us put health first The State Technology Lead understands departmental and IT organizational strategy and operating objectives, including their linkages to related areas. They build partnerships between IT, state markets, implementation teams, and horizontal partners. In ambiguous situations, they require minimal direction and receive guidance where needed. This role serves as the primary state IT implementation contact, and works closely with the Market CIO, IT Readiness team, IT Program team, Test Leads and Technology Solution Professionals. Key Responsibilities: This role will be responsible for overseeing testing for 1-2 states and their associated product lines in parallel, then rolling on to the next state program(s Accountable for understanding the priorities of all delivery for their assigned state, supporting the business goals of the Medicaid IT program. Identifies and implements best practice changes within their organization and across Medicaid IT to drive faster and more streamlined delivery cycles. Coordinates resolution of major initiatives deliverables requiring urgent attention/escalation Guides state and market implementations, ensuring IT technical requirements are delivered effectively. In conjunction with other Market CIOs: Maintains end-to-end accountability for the ongoing quality control, development, and delivery of IT products and services for their assigned state. Partners with strategy advancement to drive initiatives such as vendor RFPs, innovation pilots, and test/learn efforts. Develops, shares, and leverages best practices across IT. Influences key stakeholders, team members, and peers outside of direct control to deliver optimal solutions aligned with business partner expectations. Conducts executive-level briefings and presents solution recommendations in support of state-level initiatives. Supports Medicaid IT leadership in preparing readiness review materials. Acts as a point of delivery escalation for their respective workgroup. Ensures state leads remain organized and aligned with delivery goals. Guides Medicaid Technology Solutions teams in developing technical process documentation. Produces weekly, monthly, and quarterly Kanban updates for state-level initiatives. Partners with business teams to ensure implementation go-live activities are transitioned smoothly to markets. Works with the Test Lead to develop plans of action for testing new technology products, including identifying areas to be tested and designing targeted test strategies. Works closely with implementation teams to promote responsible, high-quality testing practices. Guides the testing team in developing test plans and strategies for implementations, setting priorities and direction for testing activities. Builds strong working relationships with cross-department teams and demonstrates excellent interpersonal, written, and oral communication skills. Identifies opportunities for implementation, testing, or IT process improvements that deliver measurable value. Provides direct or indirect oversight of test leads and technical solution professionals. Offers matrixed oversight of IT Program Managers to ensure new state implementations and existing market capabilities are delivered on time, within budget, and with high quality. Use your skills to make an impact

Requirements

• Bachelor’s degree in healthcare administration, public health, information systems, business, policy administration or related field; work experience may meet this need
• 5 + years managed care experience
• 5 + years in Medicaid program implementation or healthcare operations, with demonstrated leadership of complex, multi-disciplinary projects
• Solid understanding of payor operations, technology, communications, and processes
• Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred
• Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences
• Delivery focused – time, scope, quality
• In-depth knowledge of Medicaid regulations, policies, and compliance requirements.
• Proven experience in managing cross-functional teams and vendor/partner relationships.
• Strong understanding of healthcare information systems and technology implementation.
• Excellent organizational, analytical, and problem-solving abilities.
• Effective verbal and written communication skills with the ability to engage stakeholders at all organizational levels
• Understanding of the software development lifecycle
• SAFe/ Agile certified
• May require work outside of regular office hours in order to meet critical timelines
• Demonstrated ability to work independently with a high level of motivation and initiative, and respond promptly and effectively to changing priorities with minimal supervision or direction
• Must be available to work during EST timezone

Nice To Haves

• Experience with Jira Align, ADO, SNOW, and SmartSheets
• Project Management Professional (PMP), Lean Six Sigma, or other relevant certifications are advantageous
• Change Management Certification

Responsibilities

• Overseeing testing for 1-2 states and their associated product lines in parallel, then rolling on to the next state program(s
• Accountable for understanding the priorities of all delivery for their assigned state, supporting the business goals of the Medicaid IT program.
• Identifies and implements best practice changes within their organization and across Medicaid IT to drive faster and more streamlined delivery cycles.
• Coordinates resolution of major initiatives deliverables requiring urgent attention/escalation
• Guides state and market implementations, ensuring IT technical requirements are delivered effectively.
• Maintains end-to-end accountability for the ongoing quality control, development, and delivery of IT products and services for their assigned state.
• Partners with strategy advancement to drive initiatives such as vendor RFPs, innovation pilots, and test/learn efforts.
• Develops, shares, and leverages best practices across IT.
• Influences key stakeholders, team members, and peers outside of direct control to deliver optimal solutions aligned with business partner expectations.
• Conducts executive-level briefings and presents solution recommendations in support of state-level initiatives.
• Supports Medicaid IT leadership in preparing readiness review materials.
• Acts as a point of delivery escalation for their respective workgroup.
• Ensures state leads remain organized and aligned with delivery goals.
• Guides Medicaid Technology Solutions teams in developing technical process documentation.
• Produces weekly, monthly, and quarterly Kanban updates for state-level initiatives.
• Partners with business teams to ensure implementation go-live activities are transitioned smoothly to markets.
• Works with the Test Lead to develop plans of action for testing new technology products, including identifying areas to be tested and designing targeted test strategies.
• Works closely with implementation teams to promote responsible, high-quality testing practices.
• Guides the testing team in developing test plans and strategies for implementations, setting priorities and direction for testing activities.
• Builds strong working relationships with cross-department teams and demonstrates excellent interpersonal, written, and oral communication skills.
• Identifies opportunities for implementation, testing, or IT process improvements that deliver measurable value.
• Provides direct or indirect oversight of test leads and technical solution professionals.
• Offers matrixed oversight of IT Program Managers to ensure new state implementations and existing market capabilities are delivered on time, within budget, and with high quality.

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: Mid Level