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Humana Medicaid, Lead Technology Solutions in Boston, Massachusetts


The Medicaid, Lead Technology Solutions builds strategic partnerships and manages relationships between IT and the aligned business group(s). The Lead Technology Solutions facilitates guidance to business partners on information technology (IT) solutions, stays current on and leverages industry trends, and challenges business and IT to drive for best outcomes by leveraging the best technology solutions. This is achieved by having a clear understanding of business, its strategic direction, and targeted outcomes along with technology trends both internal and external to the organization. The role serves to develop an integrated view of the Medicaid enterprise using a repeatable approach, cohesive framework, and available industry standard techniques. The Lead interprets and contextualizes strategy for operational needs, develops specific artifacts such as business capability maps, value chains, and value streams to help bridge the gap between strategy and execution, and helps streamline and rationalize the IT enablement process. In addition to developing specific deliverables, views, and viewpoints, the Lead will synthesize and synergize the work of others drawing from disciplines such as strategy development, business analysis, process management, operations, and systems analysis. This role will be responsible for the development, communication and implementation of the Medicaid technology architecture and applications plan, including the components required to support it and in the integration of corporate and business architecture and applications.


  • Responsibilities

  • Accountable for developing Medicaid Value Chains and sub Value Streams to optimize all delivery to support the IT and Business goals of our Medicaid program.

  • Looks for opportunities to develop and implement best practice changes across value streams to drive Humana to faster and more streamlined delivery cycles

  • Builds and maintains relationships with business leaders to understand the business strategy and needs and to advocate technology solutions to deliver results.

  • Responsible for ensuring cross value chain and value stream dependencies are identified

  • Describe and document the primary functions of Medicaid and distinguish between customer-facing, supplier-related, business execution and business management functions and build the value chain and value stream

  • Define the data shared across the enterprise and the relationships between those data

  • Lead, build, manage, enhance business capability model along maturity / optimization framework to drive enablement of the longer-term roadmap

  • Stays current on relevant technologies leading efforts to match business needs with best technology solutions.

  • Ensures Technology investment roadmaps stay relevant and accurately reflect the investment plan and timing for assigned business areas.

  • Develops, shares, and leverages best practices across IT

  • Effectively influences key stakeholders, team members, and peers outside of direct control of this role, to deliver optimal solutions in line with the best interests and expectations of the business partner.

  • Partner in the strategic planning process by providing input to the scope definition of strategic initiatives leveraging capabilities, creating capability Heat maps to provide visibility to impacts, dependencies, overlaps and opportunities. Key Deliverables include (but not limited to): Value Chain and Value stream level Capability Model, Capability Heat maps, Capability Maturity Assessments, Capability Impact Assessments, Capability Health Assessments & Capability Roadmaps

  • Works closely with solution/technical architects to deliver business architecture artifacts needed for End to End Architecture & Solution Architecture Approach deliverables

  • Document, articulate and manage the relationships between business capabilities and information technology solutions

  • Provide in depth business architectural support during program/project solution analysis and design to ensure roadmap align

Required Qualifications

  • Demonstrated experience tracking and implementing trending technologies to successfully drive business performance

  • Possess 8+ years of progressive experience leading continuous improvement efforts, evaluating existing systems and/or implementing process improvements.

  • Business Architecture experience

  • Agile knowledge and expertise

Preferred Qualifications

  • Master's degree

  • SAFe Agile knowledge and exposure

  • Broad Medicaid Industry & Technology knowledge including cloud technologies, automation, and/or AI/Machine learning

  • Change Leadership - demonstrated success promoting change by helping others to change and removing barriers

  • Consulting skills - able to assimilate business knowledge and knowledge of internal customer's unique needs/situation. Provide options and tools to make informed decisions.

  • Analytical skills to evaluate information gathered from multiple sources, reconcile conflicts, distinguish presented user requests from the underlying true needs, and distinguish solution ideas from requirements.

Scheduled Weekly Hours