Montpelier, VT, United States
Manager, Insurance, Healthcare
Apr 14, 2023
Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate with a fun and close-knit team that embraces challenge and change.'
The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate Director, Technology Solutions requires a solid understanding of how organization capabilities interrelate across department(s).
The Associate Director, Technology Solutions acts as a liaison and collaborates with the business and functional stakeholders to identify and deliver strategic enablement solutions. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.
The Medicaid Encounter Associate Director will work across multiple partner teams to enable their team to drive products from design completion to production release and monitoring. This role is accountable for the management of the Medicaid Encounter and Automation teams which includes oversight of the interfaces into and out of our Encounter platform. This role will set the Encounter IT strategy for new Medicaid state implementations and existing business including upgrade and rule recommendations.
Bachelor's Degree or 6 or more years of technical experience and/or vendor management experience
3 or more years of management experience
Experience in Encounter Data Creation and Submissions
Experience with the technologies in use in the application(s) or infrastructure
Experience with EDI interfaces
Solid understanding of operations, technology, communications and processes
Possess 10 years of progressive experience leading continuous improvement efforts, evaluating existing systems and implementing process improvements.
Excellent communication skills with the ability to collaborate and communicate effectively across varying levels of the enterprise
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
3-5 years of Health insurance experience or Medicaid experience
Demonstrated ability running large-scale projects
Experience with technology solutions assessments and/or strategy planning oversight
At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:
Generous PTO package
Health benefits effective day 1
Annual Incentive Plan
401K - Company match
Paid Volunteer Time Off
Student Loan Refinancing
If you share our passion for helping people, we likely have the right place for you at Humana!
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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
Associates 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 associates 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.
Interview Format :
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first-round interview, you will receive an email/text correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews.
Social Security Task
Alert : Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information to the application at Humana's secure website.
At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.
After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what's happening around our organization in the changing world of healthcare.
This is a remote position.
Scheduled Weekly Hours
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.
Website : http://www.humana.com