Remote Medicaid Implementation Process Specialist

Humana Inc; Topeka (KS); Remote; USD 65,000 - 89,000; Full time

Job summary

Humana Inc. is seeking a Process Improvement Professional II to support Medicaid implementation activities. You will translate high-level goals into operational documentation, draft policies and workflows, and assist in creating readiness materials for new state launches.

Remote US work is supported with regular collaboration with senior staff. The role emphasizes detail-oriented documentation, quality checks, and alignment with regulatory requirements to ensure consistency and compliance across

Qualifications

• Bachelor's degree or 3 years’ equivalent experience working in health plan operations.
• 2+ years’ experience supporting LTSS Provider, LTSS Care Management (CM), or LTSS Utilization Management (UM) roles.

Responsibilities

• Draft and review policies, procedures, and readiness materials for Medicaid implementation.
• Assist with document submissions through internal approval processes and ensure alignment with contract requirements.

Skills

Project management

Cross-functional collaboration

Education

Bachelor's degree or 3 years’ equivalent experience in health plan operations

Job description

Humana Inc. is seeking a Process Improvement Professional II to support Medicaid implementation activities. You will translate high-level goals into operational documentation, draft policies and workflows, and assist in creating readiness materials for new state launches.

Remote US work is supported with regular collaboration with senior staff. The role emphasizes detail-oriented documentation, quality checks, and alignment with regulatory requirements to ensure consistency and compliance across