Indiana Medicaid Care Management Executive

Humana

Indianapolis (IN)

On-site

USD 185,000 - 254,000

Full time

4 days ago
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Benefits offered by this job

Medical, dental, vision benefits
401(k) retirement plan
Paid time off
Disability insurance
Life insurance

Job summary

Humana seeks an Associate Vice President, Care Management to lead Indiana Medicaid care management, LTSS/HCBS integration, and population health operations. This executive role oversees interdisciplinary teams, drives person-centered care, and ensures regulatory and contractual compliance across physical health, behavioral health, and community-based services.

The AVP translates complex Medicaid requirements into reliable operating models, with strong emphasis on performance, risk management,

Qualifications

  • Bachelor's degree in nursing or social work.
  • 10+ years in managed care, Medicaid, care management, or LTSS.
  • 8+ years of leadership experience with multidisciplinary teams.
  • Experience with Medicaid managed care requirements and audits.

Responsibilities

  • Provide strategic and operational leadership for care management and service coordination across Indiana Medicaid.
  • Oversee care coordination, complex case management, and transitions of care.
  • Lead LTSS and HCBS care delivery and integration with Medicare and Medicaid benefits.
  • Establish operating models, staffing plans, and performance metrics.
  • Ensure compliance with contract requirements and quality standards.

Skills

Leadership
Analytical thinking
Executive communication
MS Office

Education

Bachelor's degree in nursing or social work
Master's degree preferred

Tools

Microsoft Office
Enterprise reporting tools

Job description

Humana seeks an Associate Vice President, Care Management to lead Indiana Medicaid care management, LTSS/HCBS integration, and population health operations. This executive role oversees interdisciplinary teams, drives person-centered care, and ensures regulatory and contractual compliance across physical health, behavioral health, and community-based services.

The AVP translates complex Medicaid requirements into reliable operating models, with strong emphasis on performance, risk management,

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