[Remote] Strategy Advancement Advisor at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Managed Care, MedicaidIndustries

Requirements

Candidates must possess a Bachelor's Degree in Business, Healthcare Administration, or a related field, along with over 5 years of professional experience in Managed Care, Medicaid, and provider contracting, relations, or network operations. A minimum of 2 years of experience leading enterprise-level projects or programs within a complex, matrixed organization is required, along with excellent organizational and leadership skills, and experience in strategic planning and execution. A Master's degree and proven Chief of Staff or similar role experience are preferred.

Responsibilities

The Strategy Advancement Advisor will support process development and improvement strategies across the Medicaid network development and implementation lifecycle, overseeing and managing special projects with established goals and objectives. This role involves representing the Medicaid Network leadership team in meetings, assisting with decision-making and strategic planning, and coordinating activities such as annual planning, progress updates, and staff meetings. The advisor will exercise independent judgment on complex issues, critically analyze situations to determine effective courses of action, manage communications to all staff levels, and streamline interdepartmental communication by creating content and presentation materials.

Skills

Process Development

Process Improvement

Project Management

Strategic Planning

Communication Management

Presentation Materials

Managed Care

Medicaid

Provider Contracting

Provider Relations

Network Operations

Critical Analysis

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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