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VP, Medicaid Regional President, LA

VP, Medicaid Regional President, LA

HumanaAkron, OH, US
21 hours ago
Job type
  • Full-time
Job description

VP, Medicaid Regional President of Louisiana

Humana's VP, Medicaid Regional President of Louisiana will be responsible for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program in Louisiana. They will lead the Humana Louisiana Medicaid executive team and report directly to Humana's SVP, Medicaid Divisional Leader. The VP, Medicaid Regional President will be based in Louisiana, will be the primary contact for the Louisiana Department of Health (LDH) regarding all issues, and will coordinate with other key personnel to fulfill programmatic requirements. They will publicly represent Humana Medicaid in Louisiana, while enhancing and further developing relationships with stakeholders throughout the state.

Essential Functions and Responsibilities

  • Manage executive Medicaid leadership team in the Louisiana market, through which all plan associates report
  • Develop strategies, formulate policies, and oversee operations to ensure the appropriate objectives and goals are met
  • Represent Humana to the public, to plan members, to associates, to LDH, and to subcontractors
  • Drive a focus on the delivery of high-quality care and supports
  • P&L oversight to ensure long-term health plan financial success, sustainability, and growth
  • Develop clear and measurable plan objectives, goals, and ideas
  • Establish and maintain a diverse, inclusive, and respectful environment
  • Promote a culture of health and well-being throughout the organization
  • Ensure plan compliance with federal and state laws and programmatic requirements, including fraud, waste, and abuse; make decisions in an ethical manner
  • Oversee operational policies and procedures
  • Develop and adhere to budgets
  • Resolve urgent and emergency matters in a fair way according to applicable policies and procedures
  • Work with Humana National support teams to infuse best practices from other states and drive new ideas and initiatives from across the Medicaid and healthcare industry
  • Effectively support the growth of associates to enhance plan leadership and career development
  • Serve as chairperson of the Member Advisory Council

Required Qualifications

  • Must reside or be willing to relocate to the state of Louisiana. As a significant presence in Baton Rouge will be required, preference for those living in or willing to relocate to metropolitan areas in South Louisiana.
  • Executive level health care management experience
  • Bachelor's degree in Business, Healthcare Administration, or related field
  • Six (6) to ten (10) years of experience working in healthcare or government leadership and / or operations management
  • Leadership background with more than five (5) direct-reports
  • Preferred Qualifications

  • Strongly preferred experience in Medicaid MCO plan leadership; experience in strategic and thought leadership in supporting Medicaid health plans; experience with budgeting and financial management of a health plan
  • Master's degree in Business, Healthcare, Public Health, or related field
  • Knowledge, experience and understanding of the Louisiana market
  • Additional Information

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

    Scheduled Weekly Hours : 40

    About Us

    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.

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