Provider Programs Strategic Product Lead

About the Role

Employment Type: Full time

Become a part of our caring community and help us put health first. The Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

The Program Delivery Lead develops programs designed to drive value-based relationships. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.

Provider prospective programs are a key driver of PCP engagement with Humana’s MRA program. The lead role’s primary responsibility will be working with various internal stakeholders to develop and execute a vision for transforming Humana’s current provider prospective programs in order to maintain our industry leading position, fully leverage emerging interoperability assets and meet the challenges presented by ongoing regulatory changes. In addition, the role will serve as owner of additional strategic areas of focus and advise on continued efforts to manage program spend while growing revenue.

This is a high profile role requiring a strategic and innovative mindset. The successful candidate will need to demonstrate the following attributes:

Key Attributes and Skills

• Strong understanding of the Medicare Advantage payment model and value based care
• Thought leader able to facilitate the creation of a long term strategy (5 year) and actionable road map to execute strategy
• Ability to be forward thinking while not losing site of immediate priorities
• Experience creating and delivering executive level presentations
• Ability to analyze complex business problems using qualitative and quantitative inputs
• Strong collaboration and interpersonal skills to influence and facilitate adoption of new strategies and tactics

Use your skills to make an impact.

Required Qualifications

• Bachelor's degree
• Knowledge and experience in managed care
• 8 or more years of technical experience
• 2 or more years of project leadership experience
• Ability to establish and develop strong partnerships and connections with key stakeholders across multiple functional areas
• Proven expertise in problem resolution, including strong data and analytics skills to enable common linkages to be identified and connected
• Experience navigating in a large company with a complex and heavily matrixed organizational structure
• Strong knowledge of Microsoft Excel and PowerPoint
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Strong relationship building skills
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Strong analytical skills

Preferred Qualifications

• Master's Degree in Business Administration or a related field
• Management consulting experience
• Consulting experience
• Six Sigma Certification also a plus

Additional Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/O