[Hiring] Medicaid State Technology Lead @Humana

Role Description

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:

• Oversee testing for 1-2 states and their associated product lines in parallel, then roll 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.
• Identify and implement best practice changes within their organization and across Medicaid IT to drive faster and more streamlined delivery cycles.
• Coordinate resolution of major initiatives deliverables requiring urgent attention/escalation.
• Guide state and market implementations, ensuring IT technical requirements are delivered effectively.
• Maintain end-to-end accountability for the ongoing quality control, development, and delivery of IT products and services for their assigned state.
• Partner with strategy advancement to drive initiatives such as vendor RFPs, innovation pilots, and test/learn efforts.
• Develop, share, and leverage best practices across IT.
• Influence key stakeholders, team members, and peers outside of direct control to deliver optimal solutions aligned with business partner expectations.
• Conduct executive-level briefings and present solution recommendations in support of state-level initiatives.
• Support Medicaid IT leadership in preparing readiness review materials.
• Act as a point of delivery escalation for their respective workgroup.
• Ensure state leads remain organized and aligned with delivery goals.
• Guide Medicaid Technology Solutions teams in developing technical process documentation.
• Produce weekly, monthly, and quarterly Kanban updates for state-level initiatives.
• Partner with business teams to ensure implementation go-live activities are transitioned smoothly to markets.
• Work 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.
• Work closely with implementation teams to promote responsible, high-quality testing practices.
• Guide the testing team in developing test plans and strategies for implementations, setting priorities and direction for testing activities.
• Build strong working relationships with cross-department teams and demonstrate excellent interpersonal, written, and oral communication skills.
• Identify opportunities for implementation, testing, or IT process improvements that deliver measurable value.
• Provide direct or indirect oversight of test leads and technical solution professionals.
• Offer 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.

Qualifications

• 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.

Preferred Qualifications

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

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.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$117,600 - $161,700 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees 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 employees 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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Company Description

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.