Humana

Stars Program Delivery Lead

San Antonio, Texas, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Program Delivery Lead - Stars Health Equity

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members, or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

The Program Delivery Lead will have exceptional people leadership skills to influence decisions and the experience working cross-functionally across the enterprise to bring an operational strategy together that connects to a broader enterprise strategy. They will work independently at the most advanced levels across multiple areas, understanding complex problems across a wide-range of enterprise teams aligned with improving member outcomes and achieving industry-leading results on the Stars Health Equity Index.

About the Role

Use your skills to make an impact. The Stars Health Equity team is seeking an exceptional, highly motivated, influential team member who excels in a dynamic, high-pace environment to drive positive member health outcomes and Humana’s success on the Stars Health Equity Index. An ideal candidate will demonstrate initiative and leadership in building internal and stakeholder relationships, integrating with cross-functional teams, and aligning related priorities across the enterprise to ensure a comprehensive, connected operational strategy across Medicare Advantage and Medicaid as it pertains to the Stars Health Equity Index.

This team member will contribute as an independent leader to develop innovative strategy and solutions, balance a full and expanding slate of test and learns, and contribute to core functions and team strategic priorities.

Key Responsibilities

  • Independently prioritize, expand, and manage a portfolio of enterprise stakeholders focused on Market/provider strategy and run-the-business operations.
  • Shape and implement high-profile strategy for improving health outcomes for our members with Social Risk Factors and positively impacting the CMS Stars Health Equity Index.
  • Effectively communicate the team strategy to leaders and teams across the enterprise.
  • Make data-informed recommendations for cross-functional collaborative projects and operational work.
  • Lead and influence partners to impact Stars through storytelling, informal, and formal presentations.
  • Cultivate, integrate, and manage new strategic relationships to positively impact member health outcomes and the Stars Health Equity Index.
  • Independently lead work at advanced levels with leaders across multiple teams to understand complex problems, develop successful strategies and tactics, and capitalize on upstream opportunities and shared priorities.
  • Communicate and manage risk, and anticipate downstream impacts while maximizing value and creating efficiencies.
  • Anticipate and plan for futuristic needs and enhancements (opportunities for process improvement, new technology, CMS updates, etc.).
  • Develop and maintain documentation of processes for governance, evaluation, and best practices for operational processes, initiatives, test and learns, and other research/investigations.

Skills and Knowledge

  • Must be passionate about contributing to an organization focused on continuously improving member experiences and outcomes.
  • Thrive in a highly collaborative, nimble, flexible team-oriented working style.
  • Ability to rapidly build and maintain trust with business leaders.
  • Proven track record of exceptional organizational and problem-solving skills which support and enable sound decision-making.
  • Exceptional relationship-building skills.
  • High self-initiative, commitment, and follow-through with the ability to switch among competing tasks and priorities.

Required Qualifications

  • Bachelor's degree
  • 8 or more years of strategic planning experience
  • 2 or more years of project leadership experience
  • Proficiency in evaluating complex problems using qualitative and quantitative data.

Skills

Program Delivery
Value-Based Care
Quality Improvement
Stakeholder Management
Cross-functional Collaboration
Operational Strategy
Medicare Advantage
Medicaid
Health Equity
Strategic Planning
Problem-Solving

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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