Become a part of our caring communityThe Senior Market Development Professional supports Kentucky Medicaid product implementation, operations, contract compliance, and regulatory deliverables. You will lead operational oversight support, including meeting preparation, action tracking, and execution of strategic initiatives. You will use regulatory and operational data to drive insights, align reporting, and ensure follow‑through across all associated work streams to ensure health plan compliance. Drive process improvement to ensure health plan efficiencies and best practice implementation.Critical Position RequirementsMarket oversight and monitoring of required contractual processes. Initiate escalation/tickets with business areas/workstreams for analysis and correction. Provide regulatory, contractual and procedural guidance.Document, maintain, and improve core Market Operations processes; update procedures as needed and support implementation of new projects.Additionally, You Will Strengthen Market Execution AcrossData Analysis and Reporting: Interpret regulatory/operational data and partner with Data & Reporting to produce insights that inform market strategy and leadership decisions.Cost of Care Realignment: Coordinate meetings, manage deliverables, and track implementation of cost‑saving initiatives.Market Oversight and Compliance: Track market oversight activities and drive closure of compliance actions and process improvements.Kentucky Medicaid Operations Oversight Meeting Management: Develop agendas, coordinate KMOO sessions, and manage post‑meeting action items focused on compliance, trends, and consumer experience.Consumer Experience Initiatives: Support Consumer Experience Professional 2 by coordinating assignments and implementing process improvements from call listening sessions.Vendor Support: Coordinate communications and operational changes with vendor management professionals to ensure vendor compliance with Health plan and vendor contract. Ensures implementation of program updates and member/provider communications coordinating through vendor management professionals.Regulatory Reporting Alignment: Ensure alignment between regulatory reports and the KDMS Operations Insights Dashboard for accuracy and transparency.Plan Resource Manual: Maintain the Plan Resource Manual (contacts and processes) to support market execution.Required QualificationsBachelor's degree5 or more years of experience in an insurance or health care setting2 or more year's experience interpreting regulations and contractsDemonstrated experience implementing and measuring outcomes for complex health‑related initiatives/pilotsStrong relationship‑management and stakeholder‑influence skillsProcess improvement mindset; ability to document, standardize, and enhance operational workflowsCommitment to improving consumer experiencePreferred QualificationsMaster's DegreeMedicaid experiencePMP certificationSix SigmaProficient with Microsoft office productsAdditional InformationMust reside in KY or surrounding states with the ability to work in the office 2 days a week at minimum.WAH Internet StatementAt minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; 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.BenefitsHealth benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunitiesScheduled Weekly Hours40Pay Range$78,400 - $107,800 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.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.#J-18808-Ljbffr