AVP, Medicaid Business Integration

Become a part of our caring community The AVP, Medicaid Business Integration is responsible for leading the execution of cross-functional operating model initiatives across the Medicaid segment, particularly where close coordination is needed between centralized and market-based teams. This role leads integration, decision-making, and delivery for work that spans multiple functions. The AVP ensures initiatives are clearly defined, decisions are made within established timeframes, and execution continues through implementation and sustained adoption. The AVP is accountable for translating strategic priorities into operating models that deliver measurable impact on cost, quality, experience (provider, member & associate), and operational performance.Key ResponsibilitiesLead Execution of Cross-Functional Operating Model InitiativesLead execution of select, high-impact initiatives requiring coordination across centralized and market teams, including:Centralization of servicesProcess standardizationWorkflow redesign across functionsTranslate strategic intent into clear operating models, roles, workflows, and timelinesFoster alignment and collaboration across:Centralized functionsMarket leadershipFocus on initiatives where:Ownership spans multiple functionsDecisions require cross-functional alignmentExecution depends on engagement and integration across stakeholdersDrive Cross-Functional Integration and DecisionsLead forums and processes to resolve complex, cross-functional decisionsDefine and drive clarity on:Standardization vs. market flexibilityResource allocationSequencing and prioritizationEstablish and enforce decision timelines and accountabilityEnsure Delivery and AccountabilitySupport initiative owners in achieving milestones, deliverables, and outcomes, and ensure accountability for resultsIdentify risks, remove barriers, and drive issue resolutionProactively communicate and escalate critical issues and decisions, providing clear recommendations to stakeholdersEnsure initiatives move from design through implementation to sustained adoption, with ongoing focus on member and provider experienceDefine and Implement Operating Model ChangesCollaborate with functional and market leaders to define and implement changes in work processesDrive thoughtful consolidation, standardization, and workflow redesignEnsure alignment of process, technology, organizational structure, and associate engagementEstablish Execution GovernanceEstablish and lead an execution governance model that includes:Cross-functional decision forumsInitiative reviews and consistent execution cadenceTransparent executive-level reportingMaintain a unified view of all work, including dependencies, risks, and progressDeliver Measurable OutcomesEnsure initiatives deliver measurable impact, including:Medical cost trend improvementAdministrative cost efficiencyQuality performance (e.g., STARS, HEDIS)Enhanced provider and member experienceTrack value realization, incorporate feedback, and adjust priorities to maximize outcomesUse your skills to make an impact  Required QualificationsBachelor's degree; Master's preferred5+ years of experience in Medicaid5+ years leading teamsDemonstrated success leading enterprise cross-functional execution or operating model initiativesExperience working across clinical, operational, and corporate functionsProven ability to drive results in a matrixed organization without direct authorityStrong financial and operational acumen, including understanding of cost of care and administrative cost driversCritical CapabilitiesExecution Leadership: Proven ability to deliver complex work from concept through implementationInfluence Without Authority: Ability to align and challenge senior leaders to drive decisionsOperating Model Thinking: Understands how structure, process, and technology connectStructured Problem Solving: Brings clarity and direction in ambiguous environmentsAccountability Mindset: Drives ownership and follows through to outcomesReporting StructureReports to: SVP, Medicaid Operations and will have 2-3 direct reportsWorks closely with: Medicaid Segment President/CEO, Functional SVPs, Enterprise partnersScheduled Weekly Hours40Pay 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. $203,400 - $279,800 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 Us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.​Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applica