Strategic Quality Engineering Manager
VirtruFull Time
Expert & Leadership (9+ years)
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.
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.
Health insurance provider for seniors and military
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.