CenterWell Pharmacy, Inc., part of Humana, is seeking a Strategy Advancement Advisor - LTSS Program Manager to provide data-based strategic direction and manage complex business initiatives. This role is central to ensuring our operations meet regulatory requirements and deliver exceptional care.
What You'll Do
- Liaise between state regulator, plan leadership, and the enterprise to ensure execution of contract deliverables and operational changes.
- Present to the state regulator on behalf of Humana.
- Perform audit material reviews and post-audit follow-ups as required.
- Review and approve all materials prior to submission to the state regulator, including policies, work plans, and provider/member-facing materials.
- Drive bi-monthly in-person audits with the state regulator.
- Work with market leadership to maintain important stakeholder relationships throughout Indiana.
- Oversee the execution of timely regulator deliverables.
- Maintain intimate familiarity with contractual requirements and stipulations.
What We're Looking For
- Bachelor's degree or equivalent experience in Medicaid managed care.
- Excellent verbal and written communication skills.
- Strategic planning experience at the market level or higher.
- Proven record of success in driving operational improvement.
- Experience dealing with external Medicaid and Medicare regulatory agencies.
- Passion for contributing to an organization focused on continuously improving consumer experiences.
- Prior experience with interpreting and acting upon Medicaid and/or Medicare contracts and legal requests.
- Experience working with HCBS (Home and Community Based Services).
- Formal or informal experience with leading teams and/or cross-functional collaboration.
- Availability to meet in person with state leaders.
- Must reside in the state of Indiana.
- Valid state driver's license, proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits, and access to a reliable vehicle.
- This role is considered patient facing and is part of Humana at Home's Tuberculosis (TB) screening program; selected candidates will be screened for TB.
Nice to Have
- Extensive LTSS knowledge and experience.
- Exceptional Communication Skills.
Benefits & Compensation
- Compensation range: $115,200 - $158,400 per year.
- Medical, dental and vision benefits.
- 401(k) retirement savings plan.
- Time off including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave.
- Short-term and long-term disability insurance.
- Life insurance.
Work Mode
This is a hybrid position that requires you to perform duties in the downtown Indianapolis, IN office 3 days per week.
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.
