Director, State Public Policy

37230 Nashville, Tennessee Humana

Posted 2 days ago

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Job Description

**Become a part of our caring community and help us put health first**
The Director, State Affairs represents the organization's position on legislation and/or regulatory affairs to elected representatives and their staff, as well as to officials and staff in regulatory and other agencies. The Director, State Affairs requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
The Director of State Public Policy role resides within the Government Affairs Department and will serve as an expert in pharmacy and pharmacist licensure, pharmacy shared services, occupational/facility licensure, PBM, and federal healthcare preemption public policy at the state level while working with subject matter experts and business units across the Humana enterprise. The person in this position will report to the Vice President of Strategy and State Affairs and be responsible for state public policy development that informs our thought leadership, advocacy, and overall strategic positioning.
**Use your skills to make an impact**
**Responsibilities**
Be an instrumental part of Government Affairs Team by leading the development of Humana's state public policy positions for our pharmacy and PBM businesses.
Engage across the company to analyze state public policy, develop positions, and draft deliverables supporting Humana business strategy.
Responsibilities include:
+ Monitor and analyze state policy trends impacting pharmacies and PBMs. Contribute policy expertise to state-level advocacy efforts.
+ Draft concise and clear descriptions/analyses/summaries of key issues to Government Affairs and Humana businesses. Inform State Affairs and business leadership on legislative and regulatory trends and translate trends into clear business impact analysis.
+ Partner with Humana's pharmacy and PBM businesses to identify business risk and opportunities in external state policy developments.
+ With input from enterprise subject matter experts, analyze, draft, and develop public policy positions to support the enterprise's priorities.
+ Provide regulatory guidance, talking points, issue management and strategic stakeholder engagement support to Government Affairs and business leaders.
+ Prepare testimony, regulatory comments, and position statements sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations, and statutes.
+ Develop and maintain repository of legislative and regulatory analyses, policy briefs, reports, position statements, white papers, and other materials pertinent to Humana's pharmacy and PBM businesses.
+ Represent Humana before national advocacy groups, trade associations, public policy organizations, intergovernmental groups, and state boards of pharmacy/National Associations of Boards of Pharmacy; manage public policy consultants and develop external stakeholder outreach strategies.
+ Maintain current awareness and analyze/compare trends, positions, and issues promoted by other companies, trade, and advocacy organizations active on pharmacy and PBM issues.
+ Perform necessary research and analyses to support enterprise positions and priorities.
**_Required_**
+ Bachelor's degree
+ 8 or more years' experience working at a state legislative or executive branch, regulatory board, trade group, intergovernmental group, consulting firm, or private sector public policy function.
+ 8 or more years' experience in pharmacy and/or PBM public policy with a direct understanding of pharmacy/PBM operations and state public policy environment impacting operations.
+ Strong knowledge of state health administrative/regulatory/licensure rules and guidance as well as state health policy. Demonstrated relationships with policy makers and thought leaders in the state public policy arena.
+ A track record of applied analysis, research, and resource development supporting healthcare policy and translating information from a wide variety of resources into actionable policy documents for use in an advocacy setting or otherwise.
+ Understanding of pharmacy and PBM public policy and regulatory issues and ability to translate complex issues in clear, concise manner to business leaders and advocacy team (technical and non-technical audiences).
+ Passion for the development of innovative, high quality government healthcare programs
+ Strong conceptual and creative thinker with an ability to identify trends and interrelationships
+ Strong verbal and written communication skills, creative problem-solving, negotiation, and multi-tasking skills in time-sensitive settings.
+ Ability to actively listen to others and ensure an open and confident style of communication both written and verbal.
+ Highly developed interpersonal skills with ability to build strong working relationships internally and externally.
+ Ability to meet clearly stated expectations and take responsibility for achieving results.
**_Preferred_**
+ Master's in health/public policy, economics or health care administration.
+ 10 or more years' of multistate state public policy experience with specific focus on pharmacy and/or PBM issues.
+ Experience working in a matrixed organization preferred, as well as experience working with multiple cross-functional business teams.
Position be remote with preferred locations of AZ, FL, GA, IL, IN, KY, LA, NC, OH, TN, TX, VA
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.
$168,000 - $231,000 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline:
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

**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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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Director, State Public Policy

37230 Nashville, Tennessee Humana

Posted 2 days ago

Job Viewed

Tap Again To Close

Job Description

**Become a part of our caring community and help us put health first**
The Director, State Affairs represents the organization's position on legislation and/or regulatory affairs to elected representatives and their staff, as well as to officials and staff in regulatory and other agencies. The Director, State Affairs requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
The Director of State Public Policy role resides within the Government Affairs Department and will serve as an expert in pharmacy and pharmacist licensure, pharmacy shared services, occupational/facility licensure, PBM, and federal healthcare preemption public policy at the state level while working with subject matter experts and business units across the Humana enterprise. The person in this position will report to the Vice President of Strategy and State Affairs and be responsible for state public policy development that informs our thought leadership, advocacy, and overall strategic positioning.
**Use your skills to make an impact**
**Responsibilities**
Be an instrumental part of Government Affairs Team by leading the development of Humana's state public policy positions for our pharmacy and PBM businesses.
Engage across the company to analyze state public policy, develop positions, and draft deliverables supporting Humana business strategy.
Responsibilities include:
+ Monitor and analyze state policy trends impacting pharmacies and PBMs. Contribute policy expertise to state-level advocacy efforts.
+ Draft concise and clear descriptions/analyses/summaries of key issues to Government Affairs and Humana businesses. Inform State Affairs and business leadership on legislative and regulatory trends and translate trends into clear business impact analysis.
+ Partner with Humana's pharmacy and PBM businesses to identify business risk and opportunities in external state policy developments.
+ With input from enterprise subject matter experts, analyze, draft, and develop public policy positions to support the enterprise's priorities.
+ Provide regulatory guidance, talking points, issue management and strategic stakeholder engagement support to Government Affairs and business leaders.
+ Prepare testimony, regulatory comments, and position statements sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations, and statutes.
+ Develop and maintain repository of legislative and regulatory analyses, policy briefs, reports, position statements, white papers, and other materials pertinent to Humana's pharmacy and PBM businesses.
+ Represent Humana before national advocacy groups, trade associations, public policy organizations, intergovernmental groups, and state boards of pharmacy/National Associations of Boards of Pharmacy; manage public policy consultants and develop external stakeholder outreach strategies.
+ Maintain current awareness and analyze/compare trends, positions, and issues promoted by other companies, trade, and advocacy organizations active on pharmacy and PBM issues.
+ Perform necessary research and analyses to support enterprise positions and priorities.
**_Required_**
+ Bachelor's degree
+ 8 or more years' experience working at a state legislative or executive branch, regulatory board, trade group, intergovernmental group, consulting firm, or private sector public policy function.
+ 8 or more years' experience in pharmacy and/or PBM public policy with a direct understanding of pharmacy/PBM operations and state public policy environment impacting operations.
+ Strong knowledge of state health administrative/regulatory/licensure rules and guidance as well as state health policy. Demonstrated relationships with policy makers and thought leaders in the state public policy arena.
+ A track record of applied analysis, research, and resource development supporting healthcare policy and translating information from a wide variety of resources into actionable policy documents for use in an advocacy setting or otherwise.
+ Understanding of pharmacy and PBM public policy and regulatory issues and ability to translate complex issues in clear, concise manner to business leaders and advocacy team (technical and non-technical audiences).
+ Passion for the development of innovative, high quality government healthcare programs
+ Strong conceptual and creative thinker with an ability to identify trends and interrelationships
+ Strong verbal and written communication skills, creative problem-solving, negotiation, and multi-tasking skills in time-sensitive settings.
+ Ability to actively listen to others and ensure an open and confident style of communication both written and verbal.
+ Highly developed interpersonal skills with ability to build strong working relationships internally and externally.
+ Ability to meet clearly stated expectations and take responsibility for achieving results.
**_Preferred_**
+ Master's in health/public policy, economics or health care administration.
+ 10 or more years' of multistate state public policy experience with specific focus on pharmacy and/or PBM issues.
+ Experience working in a matrixed organization preferred, as well as experience working with multiple cross-functional business teams.
Position be remote with preferred locations of AZ, FL, GA, IL, IN, KY, LA, NC, OH, TN, TX, VA
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.
$168,000 - $231,000 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline:
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

**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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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Customer Service Quality Policy Analyst I

37247 Nashville, Tennessee ASM Research, An Accenture Federal Services Company

Posted today

Job Viewed

Tap Again To Close

Job Description

Responsible for the administration of the quality monitoring program and quality assurance escalations for Service Delivery/Contact Centers. Creates, reviews, and finalizes quality documentation and guidance materials. Aids in the training of new resources. Implements quality monitoring process, solicits client feedback, reviews metrics, and discovers opportunities for process and quality improvement.

  • Uses discretion in resolution of quality assurance escalations from the client or internal personnel.

  • Reviews, provides feedback, and contributes to policy documentation and guidance materials based on experiential knowledge and understanding of client requirements and Business Process Outsourcing (BPO) operations.

  • Identifies opportunities for improvement based on client feedback.

  • Identifies when behavioral guidelines are breached, provides corrective guidance to BPO, tracks issue to ensure it is remedied, and ensures project leadership is aware.

  • Analyzes client surveys, creates reports, and delivers survey feedback and analysis to BPO.

  • Reviews, approves, and delivers quality-related training for BPO Quality Assurance personnel.

  • Reviews metrics to ensure call quality standards are being met with respect to timeliness and resolution.

  • Supports deployments by drafting and implementing test scripts for service rehearsal testing.

  • Maintains professional and technical knowledge in the field by reviewing professional resources and benchmarking best practices. May be required to participate in educational workshops and information sessions.

  • Provides guidance in interpreting policies and quality standards.

Minimum Qualifications

  • Bachelor's Degree or equivalent relevant experience.

  • 2-5 years of relevant experience in quality monitoring in a Service Delivery/Contact Center environment.

Other Job Specific Skills

  • Strong written and verbal communication skills

  • Ability to tailor communications to multiple audiences/entities

  • Excellent analytical, organizational, time-management, and multi-tasking skills

  • Reporting analytics experience

  • Experience with project administration and meeting multiple deadlines

  • Experience in customer service quality and/or help desk

  • Strong organization and time management skills

  • Experience with quality management program or training team

  • Experience with customer service applications

  • Experience with metrics reporting

Compensation Ranges

Compensation ranges for ASM Research positions vary depending on multiple factors; including but not limited to, location, skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique to each role. Monetary compensation is one component of ASM's overall compensation and benefits package for employees.

EEO Requirements

It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.

All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, disability, or age. All decisions on employment are made to abide by the principle of equal employment.

Physical Requirements

The physical requirements described in "Knowledge, Skills and Abilities" above are representative of those which must be met by an employee to successfully perform the primary functions of this job. (For example, "light office duties' or "lifting up to 50 pounds" or "some travel" required.) Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions.

Disclaimer

The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

$64,900 - $80k

EEO Requirements

It is the policy of ASM that an individual's race, color, religion, sex, disability, age, gender identity, veteran status, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.

All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, veteran status, disability, gender identity, or age. All decisions on employment are made to abide by the principle of equal employment.

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Customer Service Quality Policy Analyst I

37230 Nashville, Tennessee ASM Research, An Accenture Federal Services Company

Posted today

Job Viewed

Tap Again To Close

Job Description

Responsible for the administration of the quality monitoring program and quality assurance escalations for Service Delivery/Contact Centers. Creates, reviews, and finalizes quality documentation and guidance materials. Aids in the training of new resources. Implements quality monitoring process, solicits client feedback, reviews metrics, and discovers opportunities for process and quality improvement.
+ Uses discretion in resolution of quality assurance escalations from the client or internal personnel.
+ Reviews, provides feedback, and contributes to policy documentation and guidance materials based on experiential knowledge and understanding of client requirements and Business Process Outsourcing (BPO) operations.
+ Identifies opportunities for improvement based on client feedback.
+ Identifies when behavioral guidelines are breached, provides corrective guidance to BPO, tracks issue to ensure it is remedied, and ensures project leadership is aware.
+ Analyzes client surveys, creates reports, and delivers survey feedback and analysis to BPO.
+ Reviews, approves, and delivers quality-related training for BPO Quality Assurance personnel.
+ Reviews metrics to ensure call quality standards are being met with respect to timeliness and resolution.
+ Supports deployments by drafting and implementing test scripts for service rehearsal testing.
+ Maintains professional and technical knowledge in the field by reviewing professional resources and benchmarking best practices. May be required to participate in educational workshops and information sessions.
+ Provides guidance in interpreting policies and quality standards.
**Minimum Qualifications**
+ Bachelor's Degree or equivalent relevant experience.
+ 2-5 years of relevant experience in quality monitoring in a Service Delivery/Contact Center environment.
**Other Job Specific Skills**
+ Strong written and verbal communication skills
+ Ability to tailor communications to multiple audiences/entities
+ Excellent analytical, organizational, time-management, and multi-tasking skills
+ Reporting analytics experience
+ Experience with project administration and meeting multiple deadlines
+ Experience in customer service quality and/or help desk
+ Strong organization and time management skills
+ Experience with quality management program or training team
+ Experience with customer service applications
+ Experience with metrics reporting
**Compensation Ranges**
Compensation ranges for ASM Research positions vary depending on multiple factors; including but not limited to, location, skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique to each role. Monetary compensation is one component of ASM's overall compensation and benefits package for employees.
**EEO Requirements**
It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.
All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, disability, or age. All decisions on employment are made to abide by the principle of equal employment.
Physical Requirements
The physical requirements described in "Knowledge, Skills and Abilities" above are representative of those which must be met by an employee to successfully perform the primary functions of this job. (For example, "light office duties' or "lifting up to 50 pounds" or "some travel" required.) Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions.
**Disclaimer**
The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
$64,900 - $80k
EEO Requirements
It is the policy of ASM that an individual's race, color, religion, sex, disability, age, gender identity, veteran status, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.
All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, veteran status, disability, gender identity, or age. All decisions on employment are made to abide by the principle of equal employment.
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Policy Service Rep - Life and Annuity Analyst - US

37230 Nashville, Tennessee DXC Technology

Posted 15 days ago

Job Viewed

Tap Again To Close

Job Description

**Job Description:**
**Essential Job Functions**
+ Follows procedures to process transactions by corresponding with agents, beneficiaries, and other departments regarding policies
+ Responsible for the accurate handling and timely execution of any policy worked
+ Ensure transactions are processed on our administrative systems accurately and in a timeframe considered suitable by client guidelines
+ Report any potential fraudulent, money laundering, or unethical requests that have been reviewed
+ Perform other related duties as assigned or required daily
+ Must provide an elite customer service experience via letters or phone calls made internally or externally (not a call center environment)
+ Research customer inquiries and responds to appropriate parties in a timely manner
+ Processes and distributes incoming and outgoing mail for multiple clients in accordance with established service level agreements
+ Performs data entry and matches documents to appropriate accounts to verify up to date and accurate information
+ Interfaces with team personnel, management, and customers in reference to customer service issues
+ Reviews client reports on a weekly basis to ensure data integrity; prepares and submits report to management
+ Reviews and recommends modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions
+ Monitors daily transactions to ensure policy and procedures are in accordance with service level agreement
**Mandatory Qualifications:**
+ High School Diploma completed
+ 2+ years of relevant **Life and Annuity insurance policy** experience are mandatory
+ Business and analytical critical thinking skills are required
+ Great communication skills and exceptional typing and documenting skills
+ Ability to work independently
+ Ability to follow oral and written directions
+ Microsoft Office and MS Teams work experience
+ Inbound/outbound customer service experience is required
+ Great ability to multitask between client´s applications and DXC systems
**Work Environment:**
+ Laptop, Docking Station, Monitors, Headset will be provided.
+ Schedule: Monday - Friday 7:30am to 4pm EST would be preferred but flexible
+ Your position is designated as 2 days hybrid, commuting to an onsite DXC office. DXC Technology reserves the right to require your in-person attendance at any of its U.S. office locations, as determined by business needs. You agree to comply with such requirements, and reasonable notice will be provided in advance.
+ All applicants must be legally authorized to work in the United States without requiring sponsorship now or in the future.
At DXC Technology, we believe strong connections and community are key to our success. Our work model prioritizes in-person collaboration while offering flexibility to support wellbeing, productivity, individual work styles, and life circumstances. We're committed to fostering an inclusive environment where everyone can thrive.
**If you are an applicant from the United States, Guam, or Puerto Rico**
DXC Technology Company (DXC) is an Equal Opportunity employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by law. View postings below .
We participate in E-Verify. In addition to the posters already identified, DXC provides access to prospective employees for the **Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters** . To access the postings in the link below, select your state to view all applicable federal, state and locality postings. Postings are available in English, and in Spanish, where required. View postings below.
Postings link ( Accommodations**
If you are an individual with a disability, a disabled veteran, or a wounded warrior and you are unable or limited in your ability to access or use this site as a result of your disability, you may request a reasonable accommodation by contacting us via email ( ) .
Please note: DXC will respond only to requests for accommodations due to a disability.
Recruitment fraud is a scheme in which fictitious job opportunities are offered to job seekers typically through online services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to provide personal information or to make payments as part of their illegitimate recruiting process. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf. More information on employment scams is available here _._
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