Humana

Stars Operations Strategy Lead

San Antonio, Texas, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Requirements

The Stars Operations Strategy Lead requires an in-depth understanding of how the Stars Operations team capabilities and goals interrelate across the broader Health Quality and Stars organization and enterprise. This role requires strategic planning support, organizational alignment, management of operating cadence and business rhythm, internal and executive communications, leadership effectiveness, and monitoring and evaluation of organizational progress. A strong understanding of the Centers for Medicare and Medicaid Services (CMS) Stars quality rating system is essential.

Responsibilities

The Stars Operations Strategy Lead will provide evidence-based strategic direction to identify and address business issues and opportunities, and provide strategic planning support for the organization. Responsibilities include collaborating with leaders to determine and prioritize business strategies, coordinating vision/mission development, maintaining plans, and managing dependencies across teams. The role involves ensuring strategic alignment across the Stars HEDIS, CAHPS, and HOS portfolio, developing and leading prioritization processes, and making recommendations to leadership. Additionally, the lead will establish, document, and mature repeatable processes for critical business functions, compile regular updates on business activities, partner to plan leadership meetings and events, and assist in shaping organizational culture. The role also includes maximizing internal voice with key stakeholders through meeting preparation and after-action reviews, serving as an advisor to improve leadership effectiveness, and monitoring and evaluating organizational progress by defining, aligning, and tracking success metrics.

Skills

Strategic Planning
Business Strategy
Prioritization
Project Management
Stakeholder Management
CMS Stars Quality Rating System
HEDIS
CAHPS
HOS

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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