[Remote] Program Delivery Lead: Stars Quality Member Optimization HOS at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's degree in business administration, marketing, communications, healthcare administration, health education & promotion, public health, or a related field. A minimum of 7 years of marketing experience is required, with specific experience in healthcare, Stars quality, and/or member/patient experience. Demonstrated success in healthcare marketing or member engagement, project management, and problem-solving is essential. Excellent communication, leadership, influence, and stakeholder management skills are also required, along with proficiency in Microsoft Office. A Master's degree, experience with behavioral economics, Medicare CAHPS and/or HOS, and relevant certifications are preferred.

Responsibilities

The Program Delivery Lead will develop interventions, communication, and materials to improve member experience related to HOS measures. This role involves conducting qualitative and quantitative analysis and research to generate insights for targeted strategies and messaging. The lead will collaborate cross-functionally to translate stakeholder requirements into member campaigns, ensuring alignment with enterprise goals. Responsibilities include developing a member engagement strategy, leading the execution of tactics, providing status updates to leadership, and reporting on campaign/program impact on Medicare HOS and patient experience. The role will advise executives on functional strategies for the Medicare Stars program and develop/evaluate vendor partnerships. Key duties include refining and evaluating direct member campaigns, developing and implementing new programs for mental and physical health, exploring new engagement technologies, applying research insights to engagement strategy, developing interventions based on studies, managing HOS call campaigns with TCPA compliance, expanding campaign targeting logic, and embedding new messaging within existing touchpoints.

Skills

Program Management
Data Analysis
Qualitative Research
Quantitative Research
Strategy Development
Member Engagement
Cross-functional Collaboration
Stakeholder Management
Campaign Management
Vendor Management
Medicare Programs
Health Outcomes
Communication Strategy
Analytics

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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