# Medicaid Chief Medical Officer for Indiana

**Company**: Humana
**Location**: Remote Indiana
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $327,700 - $450,600 per year
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Indiana/Regional-VP--Health-Services_R-428970?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_574cb2dc-dc5

## Description

The Medicaid Chief Medical Officer for Indiana provides market-based medical leadership and clinical strategy for Humana Healthy Horizons in Indiana.

This leader oversees clinical operations, quality, utilization management, population health, and medical cost strategy while serving as a senior clinical representative with the State, providers, community partners, and other key stakeholders.

Provides strategic and operational clinical leadership for all Indiana Medicaid lines of business, including Medicaid-only, Medicaid LTSS, and integrated Medicare-Medicaid products, including integrated D-SNP, as applicable.

The role also contributes to Indiana Medicaid business development by supporting procurement strategy, external relationship development, provider partnership opportunities, and differentiated clinical solutions that advance Humana’s growth, competitiveness, and long-term success in the state.

**Responsibilities:**

- Support all Indiana Medicaid lines of business, including integrated D-SNP business development activities, including procurement strategy, stakeholder engagement, competitive market positioning, and the development of innovative clinical solutions that drive growth and strengthen Humana's presence in the state.

- Serve as a key clinical leader in a highly matrixed environment, collaborating across internal and external stakeholders to implement strategic initiatives and achieve business results.

- Provide medical leadership and oversight of utilization management, care management, quality operations, and medical necessity strategies to ensure high-quality, cost-effective care delivery.

- Oversees the clinical strategy, performance, compliance, and operational effectiveness of care management programs, ensuring alignment with state contract requirements, member needs, quality outcomes, utilization management priorities, and integrated model objectives.

- Lead market-level clinical programs and quality improvement initiatives, including HEDIS/STARS performance, peer review activities, and Quality Management Committee governance.

**Requirements:**

- M.D. or D.O. degree with current, unrestricted medical license and board certification, with the ability to practice in Indiana.

- 10+ years of progressive clinical and healthcare leadership experience, including managed care, Medicaid, Medicare, or value-based care environments.

- Proven experience leading utilization management, care management, quality improvement, population health, and medical cost management strategies.

- Proven ability to influence executive leaders, state partners, and cross-functional teams to achieve clinical, operational, quality, and compliance objectives.

- Demonstrated success partnering with providers, health systems, community organizations, and government stakeholders to improve healthcare outcomes and drive business results.

- Strong strategic, financial, and executive leadership skills, with the ability to influence in a complex matrix organization and support growth, network, and procurement initiatives.

**Benefits:** Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and many other opportunities.

## Skills

### Required
- M.D. or D.O.
- medical license
- board certification
- managed care
- Medicaid
- Medicare
- value-based care

### Nice to have
- Internal Medicine
- Family Practice
- Geriatrics
- Hospitalist
- ER
- PM&R
- Master's Degree

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Source: [Apply at humana.wd5.myworkdayjobs.com](https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Indiana/Regional-VP--Health-Services_R-428970?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)