Lead, LTSS Process Improvement
Humana
full-time
Posted on:
Location Type: Remote
Location: Virginia • United States
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Salary
💰 $94,900 - $130,500 per year
Job Level
About the role
- Analyze current Medicaid long-term support and services programs to identify areas for improvement.
- Research, analyze, and interpret state contracts and responses.
- Develop and implement strategies to enhance program efficiency.
- Oversee the creation, review, and update of program descriptions.
- Collaborate with relevant stakeholders to ensure accuracy and completeness of program descriptions.
- Interpret complex regulations and process to translate them into easily understandable policies and procedures.
- Lead initiatives to streamline processes related to Medicaid services.
- Collaborate with internal teams, external partners, and Medicaid agencies.
Requirements
- Bachelor's degree in Business or a related field
- minimum five (5) years business experience
- Experience in Managed care health plan operations
- Strong influencing and process implementation skills
- Facilitating and driving cross-functional teams' efforts
- Successfully demonstrated delivering presentations to senior leaders
- Must be available to work normal business hours in the Eastern Standard Time Zone
- Available for 10% travel to the Virginia office for meetings and or trainings on a quarterly basis
Benefits
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
program analysisstrategy developmentprogram efficiency enhancementregulation interpretationpolicy developmentprocess streamliningcontract analysisdata interpretationbusiness analysismanaged care operations
Soft Skills
influencing skillsprocess implementationcross-functional collaborationpresentation skillsstakeholder engagementteam leadershipcommunication skillsorganizational skillsproblem-solvinganalytical thinking
Certifications
Bachelor's degree