Medicaid Senior Market Development Professional

Profile

Job Information

Humana

Medicaid Senior Market Development Professional

in

Newport

Rhode Island

Description

The Medicaid Senior Market Development Professional will serve as the Pharmacy business SME

for the Medicaid line of business. This role will be responsible for the implementation of required deliverables prior to award, Medicaid day to day operations, issue resolution and process improvements, RFP responses, and will also serve as the PBM Liaison, as needed. This role will work in conjunction with pharmacists and operational partners as well as market contacts.

Responsibilities

This role consists of, but is not limited to, the following responsibilities:

Assist with RFP responses

Assist in developing and maintaining the Medicaid Pharmacy RFP library

Work with Medicaid Leadership to define client deliverables and expectations

Establish relationships with all HPS Operational areas for collaboration regarding client deliverables

Ensure documentation tracking for all issues, action items, deliverables, decisions, etc.

Responsible for facilitating calls/meetings/discussions for action plan development

Monitor and drive action plan to resolution

Proactive identification of potential client issues of concern

Responsible for day to day operational oversight

Report escalated issues to Leadership for awareness

Manage all pre-implementation deliverables

Serve as PBM Medicare Business Owner and Liaison

Required Qualifications

Bachelor's Degree in Business, Finance or a related field

5 years of professional work experience

3 years of Pharmacy or PBM experience

3 years of project management experience

Previous Medicaid experience

Experience presenting to internal and external customers

Experience in claims processing and daily operations

Previous healthcare implementation experience and successful track record in facilitating and consulting across teams

Excellent communication skills, both oral and written

Comprehensive knowledge of Microsoft Word and Excel

Preferred Qualifications

Strong problem solving skills

Previous RFP experience

Familiar with RFP databases (RocketDocs)

Project Management certification

3 - 5 years of Medicaid experience

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

Additional Information

Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance for Humana systems is 10Mx1M

Vaccination Info

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

​​Medical, religious, state and remote-only work exemptions are available.

Interview Format

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from

Humana@myworkday.com

with instructions to add the information into the application at Humana's secure website

Scheduled Weekly Hours

40

Company info

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