Enterprise Transformation Lead - Interoperability

Employment Type: Full-time

Position Overview

Humana is seeking an Enterprise Transformation Lead to join the Interoperability Team. This role is crucial in transforming the future of healthcare through strategic interoperability and data connectivity. You will lead recruiting efforts to expand partnerships with providers and Electronic Medical Record (EMR) vendors, accelerating the adoption of interoperability products within our provider network to improve health outcomes and advance value-based care initiatives. This position combines relationship-building, strategic program implementation, and data connectivity expertise across major EMR platforms like Epic, eClinicalWorks, athenahealth, and Veradigm. You will collaborate closely with corporate and market teams, as well as provider relationship managers, to support and scale our interoperability efforts.

Key Responsibilities

• Serves as a strategic liaison to market partners and provider-facing teams, helping them understand and promote interoperability offerings.
• Leads provider recruitment, onboarding, and Kickoff meetings for new interoperability implementations.
• Tracks and manages provider progress through the data connection lifecycle, ensuring timely and complete integration.
• Identifies and supports opportunities to enhance supplemental data collection (e.g., HEDIS, Lab Data) via direct connections.
• Educates provider partners on best practices, updates, and ongoing improvements.
• Maintains regional Live Connection Tracking and status of in-process EMR connections.
• Utilizes internal tools (Salesforce CRM, Compass, and Cotivity) to identify, prioritize, and activate new provider recruitment targets.
• Coordinates with Humana’s Interoperability Recruiting and Implementation teams to advance provider implementations and monitor timelines.
• Submits and manages interoperability support requests in partnership with corporate and vendor teams.
• Drives strategic planning for future implementations by aligning regional goals and incentives (e.g., POCA).
• Tracks and manages vendor utilization and incentives for connected providers.
• Supports Medicaid recruiting and implementations to optimize retrieval methods using interoperability pathways (e.g. MRR).
• Collaborates with contracting and product teams to ensure alignment between recruitment strategy and business objectives.

Requirements

• Required Qualifications:
  • Bachelor’s degree in business, healthcare, marketing, or related field and 2 years of experience in sales, account management or provider recruitment experience.
  • OR 4 years of work experience in sales, account management or provider recruitment.
  • Strong understanding of Electronic Medical Record (EMR) vendor ecosystems (Epic, eCW, athenahealth, Veradigm).
  • Prior experience in managed care, Medicare, or Medicaid.
  • Excellent interpersonal and communication skills with the ability to manage both internal and external relationships.
  • Demonstrated ability to work independently and manage complex cross-functional projects.
  • Ability to manage competing priorities in a fast-paced environment.
• Preferred Qualifications:
  • Previous experience working with a start-up business or business ownership.
  • PMP or Six Sigma certification.
  • Experience leading cross-functional initiatives or managing a team.
  • Working knowledge of quality improvement and data integration (e.g., HEDIS, lab data, retrieval methods).

Additional Information

• Workstyle: This is a remote position.
• Travel: Up to 20% to Louisville, KY for business and team engagement meetings.
• Typical Workdays and Hours: Monday – Friday; 8:30am – 5:00pm, Eastern Standard Time (EST).

WAH Internet Statement

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.