Program Management - Sr. Manager
CVS HealthFull Time
Senior (5 to 8 years), Expert & Leadership (9+ years)
Candidates must possess a Bachelor's degree in business administration, healthcare administration, healthcare management, or public health, or a related field. A minimum of 7 years of direct experience in healthcare, patient experience, provider engagement, and/or Medicare Stars Quality is required, along with provider experience or a previous provider-facing role. Demonstrated success in relationship management, performance improvement, education and support, problem-solving, and conflict resolution is essential. Excellent communication, leadership, influence, and stakeholder management skills, as well as proficiency with Microsoft Office, are also required.
The Program Delivery Lead will provide guidance, support, and relationship management to key provider partners regarding HOS measures and patient experience. This role involves collaborating with network and provider rewards teams to develop and execute strategies for HOS score improvement, and translating stakeholder requirements into actionable provider strategies. Responsibilities include developing a provider engagement strategy for performance improvement in healthcare outcomes and patient experience, leading tactic execution, collaborating on engagement strategy, providing status updates to leadership, and reporting on program results and their impact on the Medicare Health Outcomes Survey and patient experience. The lead will advise executives on functional strategies for the Medicare Stars program, develop and deepen partnerships with provider-facing teams, establish forums for effective communication, drive accountability for provider-facing core metrics, innovate HOS elements of the patient experience program, develop and maintain processes for evaluating network accessibility, evaluate and define HOS incentives, refine and implement provider support materials, implement regular performance reporting, and deliver training on change management strategies, HOS program resources, incentives, and performance expectations. Additionally, the role involves engaging provider-facing teams on high-priority providers, driving performance accountability, and developing and implementing new mental and physical health initiatives.
Health insurance provider for seniors and military
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.