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Job Information

Humana Market Development Advisor - WAH in Davenport, Iowa

Description

The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Market Development Advisor serves as the primary resource on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding corporate Medicare/Medicaid/TRICARE/Employer Group performance benchmarks. Maintains relationships with regulators within a region. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications

  • Bachelor's degree

  • 3+ years with Behavioral Medicaid/Commercial/Medicare contracting/and or operational oversight

  • 1+ years of Behavioral Health Medicaid experience

  • 3+ years managing large projects and cross functional teams with experience in healthcare

  • Success in developing working relationships within a highly matrixed business environment

  • Ability to analyze data and make informed recommendations

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Master's degree

  • 5+ years BH Medicaid BH experience

  • Experience responding to state and/or federal government solicitations

  • Experience developing relationships with key stakeholders to understand and improve the market

Additional Information

Scheduled Weekly Hours

40

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