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The Lead, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Lead, Technology Solutions works on problems of diverse scope and complexity ranging from moderate to substantial.

The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT and the aligned business group(s). The Lead facilitates guidance to business partners on information technology (IT) solutions, stays current on and leverages industry trends, and challenges business and IT to drive for best outcomes by leveraging the best technology solutions. This is achieved by having a clear understanding of business, its strategic direction, and targeted outcomes along with technology trends both internal and external to the organization. The role serves as the Single Point of Contact representing assigned business area(s) to the IT organization and representing Humana IT with internal business partners along with State and Federal regulators The Lead contributes to RFP responses to ensure they are accurate and reflect the true and competitive capabilities Humana brings to the table,  ensures internal SLAs are in place to support contracts and technology is configured to operate within contractual obligations The Lead drives solutions at an organizational level to provide maximum value and align to the overarching IT strategy.

Responsibilities

• This State Technology Lead role will exclusively cover the Ohio Medicaid product lines.
• This State Technology Lead must reside full-time within the state of Ohio
• Builds and maintains relationships with regulators and business leaders to understand the business strategy and needs and to advocate technology solutions to deliver results

• Participated in state Readiness Reviews, including arranging with other IT experts to present, as needed, for topics where additional expertise may be needed

• Stays current on relevant technologies leading efforts to match business needs with best technology solutions

• Organize and run any one-time or recurring technology-related meetings with state personnel, and/or with the state’s technology partner

• Provide thought leadership for state regulators, Humana market leaders, and occasionally other MCOs when multi-MCO implementations are involved

• Collaborate with Market Operations/leadership in problem solving and help with workarounds as required to meet state deadlines that are in significant conflict with Humana IT’s development timelines

• Serves as the “Senior Business Architect” for Medicaid, with a strong understanding of how the industry’s standard processes are executed in Humana’s environment, from end to end

• Help develop and maintain all state-level Humana IT P&Ps, working with Humana IT compliance, the Privacy Office, and other internal areas as needed

• Be on point for the technology portion of all state Medicaid compliance audits. These will often tie back to P&Ps

• Participate in Command Centers or other operationally focused meetings as determined by each market

• Participate in Market President’s senior leadership meetings, as appropriate

• Ensure documentation is gathered and distributed to the appropriate market and IT peers for any state led meetings 

• Accountable for partnering with IT Operations in monitoring contractual SLA performance for State contracts to successfully deliver and avoid potential millions in liquidated damages and maximize revenue 

• Responsible for state technology roadmap including delivery of strategic imperatives to position to win and re-win contracts at renewal

• Accountable for collaborating with business and IT peers to collect, maintain and store specifications, documentation, design documents, process flows, etc. relating to the state implementation. 

• Work with teams to gathers business requirements and clarify scope during initial discovery by conducting meetings/interviews, and facilitating large group/cross-functional sessions with partners

• Effectively influences key stakeholders, team members, and peers outside of direct control of this role, to deliver optimal solutions in line with the best interests and expectations of the busines