Job Information
Humana VP, Medicaid Regional President (CEO) -KY in Louisville, Kentucky
Become a part of our caring community and help us put health first
Humana's VP, Medicaid Regional President of Kentucky (CEO) will be responsible for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program in Kentucky. They will lead the Humana Kentucky Medicaid executive team and report directly to Humana's SVP, Medicaid Divisional Leader. The VP, Medicaid Regional President will be based in Kentucky, will be the primary contact for the Kentucky Department of Medicaid Services (DMS) regarding all issues, and will coordinate with other key personnel to fulfill programmatic requirements. They will publicly represent Humana Medicaid in Kentucky, while enhancing and further developing relationships with stakeholders throughout the state.
Essential Functions and Responsibilities
Manage executive Medicaid leadership team in the Kentucky 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 DMS, and to subcontractors
Drive a focus on the delivery of high-quality care and support
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
Use your skills to make an impact
Required Qualifications
Must reside or be willing to relocate to the Commonwealth of Kentucky. A significant presence in Louisville will be required.
Bachelor's degree
Executive level health care management experience
8-10 years of experience working in healthcare or government leadership and/or operations management
5 plus years leadership experience 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
Master's degree
Experience with budgeting and financial management of a health plan
Knowledge, experience and understanding of the Kentucky market
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. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.