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Humana Medicaid is seeking exceptional candidates to join our Medicaid Insurance Products and Benefits Organization to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a unique opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves.

Humana Medicaid Insurance Products and Benefits team’s purpose is to develop new benefits and wellness programs for members in our Medicaid and Duals health plans. Our goal is to advance personalized solutions that foster whole person care to engage and empower our members in their health journeys. This team supports Medicaid growth opportunities and works across the Company toHu set actionable product strategy and accelerate development of novel solutions through ideation, concept development, and launch. We are a diverse set of highly skilled people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals, we empower associates to pioneer simplicity, rethink routine and seek talent with the following attributes: Medicaid Insurance Products and Benefits team’s purpose is to develop new benefits and wellness programs for members in our Medicaid and Duals health plans. Our goal is to advance personalized solutions that foster whole person care to engage and empower our members in their health journeys. This team supports Medicaid growth opportunities and works across the Company to set actionable product strategy and accelerate development of novel solutions through ideation, concept development, and launch. We are a diverse set of highly skilled people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals, we empower associates to pioneer simplicity, rethink routine and seek talent with the following attributes:

• Creative – Adept at research to determine the opportunity and a structured yet flexible approach to problem solving.
• Adaptive - Rapidly learn new knowledge, skills and behaviors in response to changing circumstances.
• Self-sufficient - Ability to navigate complex situations and independently produce high quality deliverables.
• Consultative – Build/sustain relationships and inform the work of others through actionable, objective insights.
• Strategic – Forward thinking capable of providing frameworks to maximize available resources to achieve growth.

 
The Medicaid Insurance Product Strategy Lead – Benefits is an experienced healthcare strategist that possesses broad Medicaid Managed Care expertise, deep working knowledge of insurance products, and has a proven track record of bringing new benefits to market. The Lead will partner across various multi-disciplinary teams at Humana to design, define, and deliver scalable and sustainable insurance products and benefits to help drive business value and improved health outcomes for vulnerable and underserved populations.
 
Responsibilities:
Policy, Research, and Competitor Analysis

• Translates requirements and guidance from federal and state government to define health plan covered service packages and eligible cohorts, ensuring Humana benefits remain attractive against industry trends and the marketplace
• Understands Humana Medicaid and Dually Eligible members by researching their needs, preferences, and pain points, and designing consumer centric, easy to use benefits, while remaining responsive to the competitive environment, evolving policy landscape, and federal and state requirements and business objectives
• Successfully applies quantitative and qualitative research and analysis to create prioritized requirements when defining solutions and workflows

Benefit Product Strategy

• Participates in capture planning and proposal development for Medicaid growth opportunities to create a differentiated value proposition for Humana
• Champions a common environment and managed business lifecycle for development of benefits across the Medicaid segment
• Defines success for each phase of the product lifecycle from initial feasibility phase to fully scaled solution through Key Performance Indicators (KPIs) and product success metrics including market adoption, customer satisfaction, and utilization

Benefit Product Development and Innovation

• Serves as the primary product development lead for the Medicaid insurance portfolio of enhanced benefits and In Lieu of Service (ILOS) solutions
• Translates front end ideation, discovery, and concept work into actionable product plans that lead enhanced benefits/ILOS through design, development and launch
• Coordinate cross-functional teams to design and d