Humana

AVP, STARS Enterprise Enablement

Kentucky, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Solutions, Managed Care, HealthcareIndustries

Employment Type

Full time

About the Role

Become a part of our caring community and help us put health first. The Associate VP, Stars Improvement develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The Associate VP, Stars Improvement requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.

The Associate VP, Stars Improvement develops programs designed to increase plan quality. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, and develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy.

Use your skills to make an impact.

Required Qualifications

  • Master's Degree
  • 8 or more years of management experience
  • Progressive experience in the health solutions industry, with emphasis on leading and managing teams
  • Prior Medicare/Medicaid experience
  • Prior managed care experience
  • Proficiency in analyzing and interpreting healthcare data and trends
  • Strong attention to detail and focus on process and quality
  • Excellent communication skills
  • Ability to operate under tight deadlines
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Master's Degree in Business Administration, Health Administration or a related field
  • Proven organizational and prioritization skills and ability to collaborate with multiple departments
  • Knowledge of HEDIS/Stars and CMS quality measures
  • PMP certification a plus
  • Six Sigma Certification also a plus

Additional 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

  • Pay Range: $203,400 - $279,800 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.

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, disabil

Skills

Medicare/Medicaid
Managed Care
Data Analysis
HEDIS/Stars
CMS Quality Measures
PMP
Six Sigma
Microsoft Office Suite
Communication Skills
Organizational Skills
Prioritization Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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