Become a part of our caring community and help us put health first
 

The COO works with various groups such as IT, Claims, Risk Management, Quality, Network, Member & Provider Services, Clinical, Analytics and Community Engagement, and Providers/Hospitals/Ancillary externally. Drives optimization through strategic planning and addressing specific business performance issues across matrixed organization and fostering key relationships with business stakeholders. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, and develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy.

Responsibilities:

• Liaise between the Illinois Department of Medicaid Services, plan leadership, and corporate contacts responsible for the execution of contract deliverables
• Work with the plan CEO to maintain important stakeholder relationships throughout Illinois
• Lead the operational team supporting Nursing Facility and Nursing Facility Eligible populations
• Lead internal infrastructure execution and oversight strategy ensuring continuous improvement of functions
• Manage implementation of strategic plans developed in cooperation with the plan CEO
• Oversee development and maintenance of operational policies and procedures
• Effectively implement business plans and oversee audit processes
• Own execution of daily operating objectives and goals, including key performance metrics
• Plan organizational growth and potential staff successions
• Develop and cultivate a diverse and inclusive environment
• Maintain intimate familiarity with contractual requirements and stipulations
• Understand and actively manage ongoing adherence to local, state, and federal regulatory and programmatic requirements
• Communicate with Illinois Healthcare and Family Services and direct plan/corporate leadership regarding any necessary operational changes
• Lead conflict resolution for any provider relations or network issues that may occur
• Implement and ensure compliance with corrective action plans if necessary

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s degree in Business, Operations Management, Healthcare Administration, or related field
• 8+ years of experience working in healthcare operations and/or health plan management
• Leadership background with more than five (5) direct-reports
• Prior experience developing methods and criteria for measuring and summarizing data for complex analyses
• Ability to lead and manage special projects that may necessitate cross-functional partnerships
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• 4+ years of experience in Medicaid MCO plan operational leadership; experience in strategic and thought leadership in supporting Medicaid health plans
• Must reside, relocate or live within commutable distance to Schaumburg, IL or Chicago IL office

Additional Information

• Location: Illinois based.  Preference Chicago or suburb.
• Work Style:  Hybrid/Office; average 2 days in office
• Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
• Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
  
  Health benefits effective day 1
  Paid time off, holidays, volunteer time and jury duty pay
  Recognition pay
  401(k) retirement savings plan with employer match
  Tuition assistance
  Scholarships for eligible dependents
  Parental and caregiver leave
  Employee charity matching program
  Network Resource Groups (NRGs)
  Career development 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 rel