Humana

Program Delivery Professional, Medicaid Quality

San Antonio, Texas, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed CareIndustries

Requirements

Candidates must possess a Bachelor’s degree and a minimum of one year of project management or healthcare quality experience, along with experience working in a healthcare environment or managed care setting. Intermediate proficiency in Microsoft Office programs, including PowerPoint, Word, and Excel, is required, as well as excellent communication skills, both oral and written.

Responsibilities

The Quality Programs Delivery Professional 2 will collaborate with internal and external partners to support quality program work in multiple states, including project management, monitoring, and evaluation activities such as member surveys, improvement projects, and educational materials. They will partner with local and national leaders regarding quality program planning, implementation, and reviews, communicating results to various teams and leadership. The role involves understanding department and organizational strategy and making decisions regarding work methods, occasionally in ambiguous situations, and receiving guidance as needed.

Skills

Project Management
Healthcare Quality
Microsoft Office (PowerPoint, Word, Excel)
Communication Skills
Data Analysis
Educational Materials
Team Collaboration

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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