Market Development Advisor

Profile

Description

The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation, operations, state and federal deliverables, contract compliance, and federal contract application submissions. The Market Development Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Market Development Advisor serves as the primary resource on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding corporate Medicaid performance benchmarks. Maintains relationships with regulators within a region. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Effectively communicate to all capabilities to state agencies, associations, business partner organizations, and vendors

Ensure understanding regardless of the communication vehicle; understand the needs and perspectives of others and tailors delivery accordingly; appropriately escalates issues appropriately; shares information appropriately in order to meet and exceed deliverable timelines

Coordinate resources and activities to ensure timely and sustained resolution of issues

Partner with Public and Government Affairs to help drive pro-Medicaid managed care policy.

Actively participates with operational areas in developing performance goals, and critical milestones for the state contracts

Develop comprehensive understanding of state and/or federal regulatory environment, as well as, industry trends in order to make recommendations for effective resolutions and to ensure meeting state deliverables

Identify opportunities for process improvements

Must have good understanding of appropriate and timely issue escalation

Required Qualifications

Bachelor's degree

3 - 5 years experience with Medicaid contracts, operations

3 - 5 years managing large scale projects and cross functional teams

Success in developing working relationships within a highly matrixed business environment

Ability to analyze data and make informed recommendations

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Master's degree

Experience responding to state and/or federal government agencies

Experience developing relationships with key internal and external stakeholders to understand and improve the market

Additional Information

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com