[Remote] Senior Strategy Professional, Care Management at Humana

Kentucky, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s degree with 2+ years of experience in driving and creating strategy or project leadership OR Master’s level degree with 1+ years of the same experience
Experience interpreting and leveraging data and analytics to improve strategy and make recommendations, including data driven story telling
Experience completing analysis and modeling of data to drive insights and recommendations for strategy advancement
Experience communicating effectively, both verbally and in writing, and adapting messaging for various audiences, including senior leadership
Proven skills influencing others and a track record of success operating in ambiguity
Proven organization, planning and prioritization skills to collaborate with multiple enterprise departments and stakeholders and the ability to execute within deadlines
Proficient in Microsoft Office, including Power Point and advanced Excel skills, e.g., creating pivot tables, manipulating multi-faceted data, and using complex formulas

Responsibilities

Drive initiatives to analyze complex problems and issues using data and insights from internal and external sources to identify the greatest opportunities in clinical outcomes, quality, cost, and experience for members in care management programs
Bring expertise or identify subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans
Work closely with associates and leaders from across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance care management strategy
Work with operational owners to translate strategic recommendations into execution plans for implementation
Drive and support strategic initiatives for developing, integrating, and optimizing care management programs and enterprise value opportunities in collaboration with internal assets, partners, and enterprise-wide initiatives
Engage in an ambiguous problem solving and strategy setting
Support cross-functional efforts to define discrete opportunities that are both impactful and achievable
Work directly with cross-functional partners across the enterprise to create the execution model and roadmap to capture prioritized opportunities
Use your skills to make an impact

Skills

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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