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Market Development Advisor

Company: Humana
Location: Bethesda
Posted on: November 21, 2022

Job Description:

DescriptionThe Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.ResponsibilitiesR-290993 Market Development Advisor (Behavioral Health Medicaid/ Medicare) Remote NationwideThe Behavioral Health Market Development Advisor serves as the primary resource on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding corporate Medicaid performance benchmarks. Establishes relationships with stakeholders within multiple states. Advises executives and market leaders to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.R-290993 Market Development Advisor (Behavioral Health Medicaid/ Medicare) Remote NationwideRequired Qualifications

  • Bachelor's degree
  • 3 - 5 years' experience with Behavioral Health Medicaid and Medicare operations
  • 3 - 5 years managing large scale behavioral health projects and cross functional teams
  • Success in developing working relationships within a highly matrixed business environment
  • Ability to analyze data and make informed recommendations on state RFPs and responses for BH elements
  • Will contribute to the advancement of behavioral health throughout the Enterprise
  • Experience developing relationships with key stakeholders to understand and improve the market
  • Deep understanding of how behavioral health services are delivered, and experience with Community Mental Health Centers, Federally Qualified Health Centers and other BH organizations
  • WORK AT HOME Requirements : Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  • COVID VACCINATION : Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.Preferred Qualifications
    • Master's degree
    • Experience responding to state and/or federal government solicitations
    • Behavioral Health provider contracting experience
    • RFP reviews and response contributions for multiple states for Medicaid expansionAdditional information
      • Schedule: 8 hours shift, Monday to Friday. Flexible Start and Stop Times.
      • Training: 2 weeks, Virtual
      • Work Location: Remote Nationwide
      • Travel: 30% - 35%
      • Notice about requesting SSN: 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 with instructions to add the information into the application at Humana's secure website.
      • Benefits: Retirement match of 100% on your contributions to your 401K. Medical, Dental, Vision and a Variety of supplemental insurances. Free Basic Life Insurance. Tuition Reimbursement. 23 days Paid Time Off. 9 paid Holidays. 1 day for Volunteer Time Off... and much more...#LI-Remote#LI-EM1Scheduled Weekly Hours40Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Keywords: Humana, Bethesda , Market Development Advisor, Other , Bethesda, Maryland

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