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Job Information

Humana Principal, Clinical Business Development (Medicaid) in Colorado Springs, Colorado

Description

The Market Development Principal provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.

Responsibilities

The Medicaid Behavioral Health Business Development Principal provides support to assigned business development team and/or specialty companies relative to Medicaid mental health and substance abuse business strategy and solutioning, implementation, operations, contract compliance, and federal contract application submissions. The Market Development Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical and Medicaid behavioral experience.

Responsibilities

The Medicaid Behavioral Health Business Development Principal serves as the primary resource and SME for business development. Ensures that RFP content and clinical model is meeting or exceeding corporate and state Medicaid requirements. Works with senior executives to develop and drive segment or enterprise-wide functional strategies. Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise.

Required Qualifications

  • Bachelors Degree

  • Experience in fully integrated physical and behavioral clinical models

  • 10 years working experience in leading mental health and substance abuse Medicaid strategy for complex populations

  • 10 years working experience in leading Medicaid strategy for complex populations

  • 10 or more years of program design, execution and measurement in the Medicaid population

  • 5 years of project/people leadership

  • Experience as subject matter expert in Medicaid RFP process

  • Strategic thinking and planning capabilities

  • Organized and detail-oriented

  • Excellent presentation and communication skills, both internal and external audiences

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

  • Able to effectively work in matrix organization and influence senior leadership level key stakeholders

Preferred Qualifications

  • Graduate Degree

  • Experience evaluating competitor capabilities, determining where there are gaps and making recommendations to close them

Additional Information

*Limited travel

Scheduled Weekly Hours

40

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