Position Responsibilities:  

• Support the development and maintenance of implementation documents such as policies and procedures, program descriptions, letters, and assessments by drafting, editing, formatting, and conducting preliminary reviews before submission to Senior Professionals or Leads. 
• Assist in reviewing member and provider manuals, flagging inconsistencies or compliance gaps, and supporting alignment with state requirements. 
• Prepare and submit internal documentation through established review and approval processes, ensuring proper version control, file management, and coordination with SMEs and reviewers. 
• Collaborate with the Senior Process Improvement Professional to review training materials and job aids, offering feedback based on document content and providing clarifying information to the training team as needed. 
• Participate in workflow development activities by documenting process steps, creating visual workflows, and helping build initial drafts to be reviewed and finalized by the Senior Professional or Lead. 
• Support the creation and maintenance of clinical auditing tools and other operational tools that will be used across markets, ensuring consistency and accessibility. 
• Assist in the setup and documentation of shared mailboxes, fax numbers, and other communication tools for new state implementations. 
• Research and gather information from contracts, regulatory documents, and internal stakeholders to support the development of implementation materials. 
• Track progress on document creation and submission tasks using internal project tracking systems (e.g., Smartsheet, OneNote, SharePoint), ensuring deadlines and deliverables are met. 
• Participate in meetings and working sessions with Senior Professionals and Leads to take notes, summarize discussions, and follow up on assigned tasks. 
• Provide general project support to the cohort team and contribute to broader team efforts aimed at process improvement and operational readiness. 
• Assist in interpreting contract requirements and converting them into clear and understandable summaries or draft documentation for review by senior team members. 
• Perform quality checks on documentation to ensure clarity, formatting, and alignment with submission standards. 
• Take on stretch assignments or special projects to support business readiness and further develop expertise in Medicaid implementation and process improvement. 

Required Qualifications: 

• Bachelors degree or 3 years’ experience working in health plan operations. 

• 2+ years of experience working in the Medicare/Medicaid space. 

• 2+ years of Provider Management and/or Provider Operations experience in Medicaid or LTSS.  

• Project leadership experience. 

Preferred Qualifications: 

• Project management experience. 

• Medicare/Medicaid integrated model experience.

• Experience/knowledge working in a cross-functional settings. 

• Deep understanding of the Enable Health model and how actions drive value for members and providers.

• LTSS Experience 

Additional Information

Work At Home Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At 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

Interview Format  

As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor.  This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. 

If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn’t missed) If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. 

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.