Humana · 1 month ago
Associate Vice President, Medicaid Data Strategy & Enablement
United States
Full-time
Remote
Mid, Senior Level
$172K/yr - $237K/yr
6+ years expHumana is a health insurance company committed to putting health first. The Associate Vice President of Medicaid Data Strategy & Enablement will lead the strategic development and execution of technology solutions to advance Medicaid business objectives, ensuring effective collaboration between business operations and IT.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Collaborate with IT teams and business stakeholders to identify, prioritize, and deliver technology solutions that directly support Medicaid strategic objectives
Oversee the lifecycle management of Business Managed Solutions (BMS) and Robotic Process Automation (RPA) initiatives, ensuring consistency with enterprise architecture, data security, and regulatory compliance
Define and implement governance principles for distinguishing between BMS and enterprise IT assets, and ensure appropriate documentation and transition when necessary
Develop, communicate, and execute a comprehensive Medicaid data strategy that aligns with both enterprise-wide and state-specific requirements, including compliance with all relevant regulations
Assess the need for Medicaid-specific data domains, and establish processes for the consistent use of verified and trusted data sources in all reporting and analytics for both state and enterprise use cases
Establish clear Medicaid data ownership and stewardship roles to ensure accountability, particularly during new state program implementations and for management of historical claims data
Create and lead a Medicaid Data Governance Council, providing oversight for data quality, access, and usage standards
Identify and resolve gaps in data ownership, including those related to files received from external entities and vendors
Champion a culture within Medicaid operations that recognizes data as a strategic asset critical to organizational success
Act as a facilitator and translator between business and technical teams, ensuring all cross-domain data needs are clearly understood and addressed
Lead programs and training initiatives to improve data literacy and analytical skills across all Medicaid teams
Expand data governance frameworks to include principles of AI ethics, fairness, transparency, and ongoing model monitoring for Medicaid use cases
Develop a clear roadmap for AI/ML applications in Medicaid, including processes for evaluation, implementation, and compliance with evolving state and federal requirements
Partner with enterprise AI teams to advocate for and address Medicaid-specific needs and priorities
Ensure all Medicaid teams understand and consistently apply corporate policies regarding BMS, including documentation, security, and compliance protocols
Define, communicate, and enforce criteria for determining when a solution qualifies as a BMS versus an enterprise IT asset
Collaborate to co-develop the strategic roadmap for the Medicaid Data Integration team, focusing on scalability, interoperability, and future-state architecture
Lead prioritization of integration use cases, and oversee the migration of data from legacy systems to enterprise data platforms or the Medicaid data lake, ensuring data integrity and accessibility
Direct and mentor the team responsible for Medicaid-focused data visualization and BI reporting, ensuring high standards of accuracy, timeliness, and relevance
Oversee the delivery of reports and dashboards that support operational, regulatory, and strategic decision-making for Medicaid programs
Drive the adoption of enterprise BI tools and reporting standards, ensuring consistency and alignment with organizational best practices
Collaborate with internal and external stakeholders to define and monitor key performance indicators (KPIs) and reporting requirements
Promote self-service analytics capabilities, while maintaining robust data governance and integrity controls
Qualification
Required
Bachelor's Degree of Business Administration, Computer Science or a related field
6 or more years of management experience
Experience leading and establishing data governance and executing on a data strategy
Experience working for a Health Plan organization
Experience overseeing the lifecycle management of Business Managed Solutions (BMS) and Robotic Process Automation (RPA) initiatives within an organization
Experience problem solving and consultation within complex environments
Experience facilitating cross-functional teams' efforts
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must be able to work EST hours
Ability to travel to Louisville, KY 15%-20% of the time
Preferred
Master's Degree
Experience developing and executing a comprehensive data strategy specific to Medicaid
Benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-09
2026-01-07
2026-01-06
Company data provided by crunchbase