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Humana Healthy Horizons is seeking a Medicaid Provider Materials Lead who is responsible the execution of core provider educational materials for Humana’s Medicaid segment to drive best in class provider experience. This role will also create and update content for provider manuals, orientation, and annual training materials for existing state contracts.

Reporting to the Director, Contract Tools, Education, Processes you will also lead in the creation of new training as needed and support Medicaid provider learning needs through collaboration across business segments for course content input. You will possess strong content creation skills to create provider materials, interpersonal skills to work across business segments, and must be highly organized.

Job Description

The Medicaid Provider Materials Lead key responsibilities include:

o    Responsible for creating and updating provider educational materials during new contract implementations.

o    Drafting provider content from contract, policies, and processes across various business areas.

o    Maintains up to date documentation based off state, market, or operational business changes.

o    Collaborates across departments to executes provider educational resources to meet state contracted requirements to drive best in class provider experience.

o    Leads annual reviews of provider manuals, orientation and annual training materials, including materials specific to behavioral health and long-term care providers to ensure updates meet required timelines.

o    Submits required documents to state agencies for review and approval.

o    Regularly meet with Humana Healthy Horizons Medicaid markets to understand their provider training and education needs to ensure aligned segment strategy and approach.

 

Use your skills to make an impact
 

Required Qualifications  

• Bachelor’s degree
• 5+ years of experience drafting provider content creation for resources, educational material, or trainings.
• 3+ years of project management experience.
• 3+ years of Medicaid or compliance experience. 
• Understanding of learning design principles provider training and educational materials.
• Demonstrated experience building templates, standard documentation, policy, and procedures.
• Must work hours within the Eastern Standard Time Zone. – work hours

Preferred Qualifications 

• Experience with Medicaid policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes, and dispute resolution. 

Additional Information

• Workstyle: Remote, must work hours within the eastern time zone.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor.  This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

 

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

 

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$104,000 - $143,000 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-14-2026

About us
 

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.