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Humana Senior Market Development Professional - WAH in Colorado Springs, Colorado

Description

The Senior Market Development Professional 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 Senior Market Development Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Market Development Professional serves as the primary resource on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding corporate Medicare/Medicaid/TRICARE performance benchmarks. Maintains relationships with regulators within a region. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

  • Bachelor's degree

  • 5+ years of experience in a fast paced insurance or health care setting

  • 1+ years of Medicaid Experience

  • Excellent communication skills, both oral and written

  • Experience implementing and measuring success on complex health-related initiatives and pilots

  • Strategic thinker with ability to work independently

  • Strong relationship building skills

  • Strong analytical skills

  • Proficient in Microsoft Office Word, Excel, Outlook, PowerPoint, etc.

  • Process-focused, with ability to leverage and enhance existing processes

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

Preferred Qualifications

  • Master's Degree

  • PMP certification

  • Six Sigma

  • Proficient with Microsoft Access, Visio and Project

Scheduled Weekly Hours

40

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