Stars Category Manager ; Procurement Professional

Kentucky, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must possess a Bachelor's degree and at least two years of procurement experience. Strong skills in communication, negotiation, financial acumen, and analysis are required, along with proficiency in Microsoft products, sourcing and contracting tools, and Power BI or similar reporting tools. Experience managing multiple tasks simultaneously and adapting to changing job focus is also necessary. Preferred qualifications include experience in outsourcing healthcare-related services and collaborating with leadership.

Responsibilities

The Stars Category Manager/Procurement Professional is responsible for developing and implementing efficient sourcing and category management strategies to optimize Humana's procurement of member clinical and quality of care services. This role involves driving value and efficiency across strategic Stars Services supplier relationships, structuring multi-year agreements, and establishing performance metrics. The individual will collaborate with internal stakeholders and suppliers to identify value creation opportunities and innovative solutions, while also leading end-to-end RFP processes, analyzing spend data, and ensuring supplier contract accountability and performance transparency.

Skills

Procurement

Category Management

Sourcing

Negotiation

RFP

Supplier Relationship Management

Contract Management

Spend Analysis

Total Cost of Ownership (TCO)

Market Analysis

Stakeholder Management

Business Strategy

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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