AVP, Medicaid Business Integration

Humana

AVP, Medicaid Business Integration at Humana leading initiatives across Medicaid segment. Focusing on cross-functional execution and operational performance improvements.

Posted 6/10/2026full-timeLouisville • Florida, Kentucky • 🇺🇸 United StatesLead💰 $203,400 - $279,800 per yearWebsite

About the role

Key responsibilities & impact

Lead Execution of Cross-Functional Operating Model Initiatives
Lead execution of select, high-impact initiatives requiring coordination across centralized and market teams
Centralization of services
Process standardization
Workflow redesign across functions
Translate strategic intent into clear operating models, roles, workflows, and timelines
Foster alignment and collaboration across: Centralized functions, Market leadership
Focus on initiatives where: Ownership spans multiple functions
Decisions require cross-functional alignment
Execution depends on engagement and integration across stakeholders
Drive Cross-Functional Integration and Decisions
Define and drive clarity on: Standardization vs. market flexibility, Resource allocation, Sequencing and prioritization
Establish and enforce decision timelines and accountability
Ensure Delivery and Accountability
Support initiative owners in achieving milestones, deliverables, and outcomes, and ensure accountability for results
Identify risks, remove barriers, and drive issue resolution
Proactively communicate and escalate critical issues and decisions, providing clear recommendations to stakeholders
Ensure initiatives move from design through implementation to sustained adoption, with ongoing focus on member and provider experience
Define and Implement Operating Model Changes
Collaborate with functional and market leaders to define and implement changes in work processes
Drive thoughtful consolidation, standardization, and workflow redesign
Ensure alignment of process, technology, organizational structure, and associate engagement
Establish Execution Governance
Establish and lead an execution governance model that includes: Cross-functional decision forums, Initiative reviews and consistent execution cadence, Transparent executive-level reporting
Maintain a unified view of all work, including dependencies, risks, and progress
Deliver Measurable Outcomes
Ensure initiatives deliver measurable impact, including: Medical cost trend improvement, Administrative cost efficiency, Quality performance (e.g., STARS, HEDIS), Enhanced provider and member experience
Track value realization, incorporate feedback, and adjust priorities to maximize outcomes

Requirements

What you’ll need

Bachelor's degree; Master's preferred
5+ years of experience in Medicaid
5+ years leading teams
Demonstrated success leading enterprise cross-functional execution or operating model initiatives
Experience working across clinical, operational, and corporate functions
Proven ability to drive results in a matrixed organization without direct authority
Strong financial and operational acumen, including understanding of cost of care and administrative cost drivers

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

cross-functional executionoperating model initiativesprocess standardizationworkflow redesignresource allocationrisk identificationissue resolutionfinancial acumenoperational acumencost of care

Soft Skills

leadershipcollaborationcommunicationaccountabilitystakeholder engagementdecision-makingproblem-solvingstrategic thinkingadaptabilityinitiative ownership

Certifications

Bachelor's degreeMaster's degree