Enterprise Transformation Lead

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Information TechnologyIndustries

Requirements

Candidates must possess a Bachelor's degree in business, healthcare, marketing, or a related field, along with either 2 years of experience in sales, account management, or provider recruitment, or 4 years of related work experience. A strong understanding of major Electronic Medical Record (EMR) vendor ecosystems such as Epic, eClinicalWorks, athenahealth, and Veradigm is required, as is prior experience in managed care, Medicare, or Medicaid. Excellent interpersonal and communication skills are necessary for managing relationships, along with the ability to work independently, manage complex cross-functional projects, and handle competing priorities in a fast-paced environment.

Responsibilities

The Enterprise Transformation Lead will serve as a strategic liaison to market partners and provider-facing teams, educating them on interoperability offerings and leading provider recruitment and onboarding. Responsibilities include tracking provider progress through the data connection lifecycle, identifying opportunities to enhance supplemental data collection, and educating partners on best practices. The role involves maintaining live connection tracking, utilizing CRM tools for target identification, coordinating with internal teams for provider implementations, and submitting support requests. Strategic planning for future implementations, tracking vendor utilization and incentives, supporting Medicaid recruiting, and collaborating with contracting and product teams to align recruitment strategy with business objectives are also key duties.

Skills

Interoperability

Data Connectivity

Provider Recruitment

EMR Platforms

Epic

eClinicalWorks

athenahealth

Veradigm

Relationship Building

Program Implementation

Salesforce CRM

HEDIS

Lab Data

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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