[Remote] Senior Workforce Management Professional; Workforce Planning at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor's degree
5 or more years of Workforce Management, Staff Planning, or Finance experience
Comprehensive knowledge of Microsoft Word, Excel and PowerPoint
Strong analysis, critical thinking, and analytical problem-solving skills
Ability to handle multiple tasks and deadlines with attention to detail
Proven experience in workforce planning, preferably within back-office teams
Strong analytical, quantitative, and strategic planning skills
Ability to translate complex data into clear recommendations for operational and strategic initiatives
Demonstrated ability to influence departmental strategy and collaborate effectively with diverse teams
Excellent communication skills, both written and verbal, for presenting analysis and recommendations to leadership
Advanced proficiency with workforce management software and analytical tools

Responsibilities

Collaborate with the WFM team to develop and implement workforce planning strategies to ensure optimal staffing for Medicaid Inpatient and Outpatient UM functions
Conduct in-depth analysis of historical utilization trends, forecast future staffing requirements, and provide actionable recommendations to senior leadership
Evaluate organizational structures and recommend enhancements to improve efficiency, service delivery, and alignment with business objectives
Collaborate with cross-functional teams, including HR, Finance, and Operations, to ensure workforce plans are integrated and support overall enterprise goals
Utilize advanced analytical tools and methodologies to model staffing scenarios, assess risks, and develop contingency plans
Present findings, forecasts, and recommendations to leadership and key stakeholders to inform data-driven decision-making
Exercise independent judgment on moderately complex to highly complex issues related to technical approaches for project components
Demonstrate considerable latitude in determining objectives and approaches to assignments with minimal supervision
Monitor ongoing workforce metrics and adjust planning as needed to respond to changing business conditions, regulatory requirements, and strategic priorities
Deliver significant impact to enterprise workforce planning and operational performance, and support Humana’s commitment to effective Medicaid program management and continuous improvement

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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