Lead, Medicaid Technology

Position Overview

This role has a hybrid remote workstyle which will require you to work 3 days a week in the office in Oklahoma City, OK

The Lead for Medicaid Technology is responsible for driving end-to-end technology delivery for Medicaid initiatives. This role ensures successful implementation of use cases across multiple horizontal platform owners, aligning with regulatory requirements and enterprise architecture standards. The leader will serve as the primary technology point of contact for Medicaid, orchestrating cross-functional collaboration to deliver compliant, scalable, and innovative solutions.

• Strategic Leadership

• Own the technology roadmap for Medicaid, ensuring alignment with state and federal mandates.
• Partner with business leaders to translate Medicaid program requirements into actionable technology solutions.
• Ensure state requirements are achievable, and work with the business to influence state requirements when needed.

• Cross-Platform Integration

• Coordinate across horizontals (Eligibility, Enrollment, Claims, Provider, Pharmacy, Care Management/Utilization Management) to implement Medicaid-specific use cases.
• Drive interoperability between Humana core platforms and vendor systems for seamless data exchange.

• Program Delivery

• Lead execution of critical initiatives such as new state requirements and regulatory mandates, ensuring timely delivery and risk mitigation.
• Oversee testing strategies (end-to-end, release, and connectivity) to validate compliance and performance.

• Governance & Compliance

• Maintain adherence to Medicaid SMMC contract provisions and regulatory requirements.
• Establish governance frameworks for decision-making, escalation, and metrics tracking across IT work streams.

• Risk Management

• Identify and resolve technology risks impacting go-live timelines (e.g., integration performance, audit file processing).
• Implement contingency plans and communicate status to executive stakeholders.

• Innovation & Optimization

• Champion modernization efforts, leveraging APIs, cloud capabilities, and data fabric solutions to improve efficiency and scalability.

• Use your skills to make an impact

• Bachelor’s degree in Computer Science, Information Systems, or related field; advanced degree preferred.
• 8+ years of progressive IT experience, including direct oversight of large technology implementations.
• Proven experience leading large-scale Medicaid or healthcare technology programs.
• Strong understanding of managed care platforms, eligibility/enrollment systems, and regulatory compliance.
• Expertise in cross-platform integration, interoperability, and data governance.
• Ability to manage complex stakeholder relationships and drive consensus across business and IT teams.
• Proven track record of successful delivery of complex IT initiatives in a regulated environment.
• Excellent communication, stakeholder management, and organizational skills.
• Experience in driving strategic alignment and integrating teams.
• Familiarity with cloud-based architectures and modern API frameworks.
• Understanding of insurance products, benefits administration, and healthcare industry standards.

This role has a hybrid remote workstyle which will require you to work 3 days a week in the office (office location is 210 Park Ave Oklahoma City, OK 73102)

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Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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