[Remote] Strategy Advancement Advisor at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
N/AExperience Level
N/AJob Type
Not SpecifiedVisa
N/AIndustries

Requirements

  • Bachelor's degree
  • Minimum of 4 years managing organizational roadmap to monitor progress against initiatives, including scorecards
  • Minimum of 4 years experience with KPI/Metric reporting for executive leadership
  • Minimum of 3 years of formal project management experience with large size initiatives
  • Proven experience creating and delivering executive level decks
  • Demonstrated ability to lead, manage, and coordinate the execution of cross-cutting, strategic workforce and operational initiatives
  • Proven experience in planning and facilitating operational strategy development meetings

Responsibilities

  • Provides data-based strategic direction to identify and address business issues and opportunities
  • Provides business intelligence and strategic planning support for business segments or the company at large
  • Leads initiatives to analyze complex business problems and operations using data from internal and external sources
  • Brings expertise or identifies subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans based on company and external data analysis
  • Collaborates with subject matter experts across provider, operational, and compliance teams to interpret analytics and generate actionable recommendations and plans for utilization review processes
  • Ensures that policies and procedures align with corporate vision
  • Selects, develops, and evaluates personnel ensuring efficient operation of the function
  • Advise executives to develop functional strategies across PPNO (Provider Process and Network Organization) on matters of significance
  • Facilitate cross-departmental collaboration to identify and communicate enterprise-wide strategic themes, ensuring alignment with organizational objectives and effectively influencing decision-making at all levels
  • Supports the Transformation Office in facilitating continuous prioritization across the organization by collaborating with key stakeholders, aligning technology investments to enterprise strategy, and ensuring effective execution of prioritization milestones as outlined in the Lean Portfolio Management framework
  • Support in development and management of operational and financial KPIs
  • Facilitate leadership team meetings and business reviews to ensure effective utilization of time, quality decision making and focus on the most important topics
  • Ensure follow-up actions are documented, and people are held accountable for those action items
  • Assist with ad hoc and confidential projects
  • Must be able to handle confidential information with a high degree of professionalism and discretion
  • Assess current operational infrastructure (meeting cadence, content, etc.) and create recommendations to most effectively sustain and/or optimize
  • Serve as a team representative, attending meetings senior leader(s) cannot attend to represent perspective, identifying opportunities and drive follow-up as needed

Skills

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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