Become a part of our caring community and help us put health firstThe Director of New Medicaid States will provide strategic leadership and technical direction for Medicaid state implementations and expansions. This role will drive end-to-end delivery for new state launches, system integrations, compliance, and ongoing support of Medicaid products and operations. The ideal candidate will partner with business, technology, and regulatory teams to ensure seamless execution of Medicaid initiatives and high-quality member experiences, paying special attention to the nuanced contractual terms per state.
Key Responsibilities:- Technical Leadership:
- Strong understanding of Medicaid business processes, enrollment, eligibility, and claims systems.
- Experience with large-scale IT implementations, system integrations, and data migrations.
- Proficiency in project management methodologies (Agile, Waterfall, hybrid).
- Familiarity with cloud-based solutions and enterprise platforms (AWS, Azure, Salesforce, etc.).
- Working knowledge of data management, security, and compliance frameworks (HIPAA, HITRUST).
- Ability to analyze complex data sets and design solutions for interoperability and automation.
- Advanced proficiency with tools such as SQL, ETL, API integration, and reporting technologies.
- Excellent communication, stakeholder management, and problem-solving skills.
- Proven ability to lead distributed teams and drive organizational change.
- Business Partnership: Partner with Product Owners, business stakeholders, and cross-functional technology teams to deliver high-quality, compliant solutions that meet regulatory and business requirements.
- Regulatory Compliance: Maintain strong controls related to data privacy, security, and compliance with applicable U.S. federal regulations.
- People Management: Manage team performance, including coaching, mentoring, and developing talent to ensure a high-performing, inclusive environment.
- Project Management: Ensure successful delivery of projects and ongoing operations, including budget management, resource allocation, and vendor relationships.
Use your skills to make an impact Required Qualifications- Bachelor's degree in Computer Science, Information Systems, or related field
- Experience hiring and growing high performing teams
- 8+ years of progressive IT leadership experience, including direct oversight of large, cross-functional teams.
- Proven track record of successful delivery of complex IT initiatives in a regulated environment.
- Excellent communication, stakeholder management, and organizational skills.
- Experience in driving organizational change and integrating teams.
- Strong understanding of data governance, privacy, and compliance frameworks.
Preferred Qualifications- Familiarity with cloud-based architectures and modern API frameworks
- Demonstrated expertise in member administration platforms and enterprise API management.
- Masters degree
Additional InformationAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours40
Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$172,200 - $236,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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, life insurance and many other opportunities.
About usHumana 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 EmployerIt 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.
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