Humana

Program Delivery Lead/Stars Member Experience and Outreach

San Antonio, Texas, United States

Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

Candidates must possess a Bachelor's degree in business administration, health administration, public health, marketing, or a related field, with over 7 years of experience in program delivery, customer experience strategy, service design, and/or business improvement. Strong analytical skills with experience in both qualitative and quantitative data are required, along with demonstrated ability to collaborate productively across organizations to drive cross-functional initiatives. Proven experience supporting program delivery from definition to execution and measurement, excellent planning and organizational skills, and clear, concise communication abilities are essential. Familiarity with behavioral/experience design frameworks in healthcare programs and working knowledge of healthcare or clinical concepts are also necessary. A Master's degree and experience with the CMS Star Rating Program and CAHPS survey measures are preferred.

Responsibilities

The Program Delivery Lead will be responsible for the successful execution of Humana’s Stars CAHPS initiatives, serving as the primary point of contact for program strategy and delivery. This role involves identifying, developing, and implementing programs to positively influence member perception and health outcomes by leveraging insights and analytics to create, optimize, measure, and scale member-facing interventions. Key duties include collaborating with business owners, experience design, IT, clinical partners, and operational leaders to develop and deploy improvements in member experience and survey outcomes. The lead will establish the learning agenda, define strategic goals and opportunities, manage delivery plans, monitor program outcomes, communicate status updates to stakeholders, and proactively address issues. They will also function as a CAHPS SME for business partners, synthesize insights into actionable takeaways, define and scope programs for performance improvement, guide and manage program execution, review and communicate initiative results, and manage business partner relationships.

Skills

Program Delivery
Member Experience
Outreach
Analytics
Intervention Design
Stakeholder Communication
Business Strategy
Performance Improvement
CAHPS
Qualitative Insights
Quantitative Insights
Teamwork

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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