[Remote] Strategy Advancement Advisor, UM and CM 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
  • 5 or more years of consulting, strategy development, commercial and/or strategic planning or business strategy experience
  • Healthcare experience
  • Strong analytical experience synthesizing data and developing methodologies for strategy development and presentation
  • Microsoft Excel modeling & PowerPoint presentation skills
  • Experience translating ambiguity into structured frameworks and/or processes for analysis

Responsibilities

  • Collaborate with senior stakeholders and lead cross-functional teams to define opportunities, present findings, build alignment, and implement strategic initiatives
  • Evaluate and track performance of initiatives across UM and CM portfolio based on clinical and operational efficiency value
  • Oversee the planning, development, and implementation of tools and dashboards for performance monitoring and informed decision-making
  • Manage competing priorities and plan path to completion for medium to large enterprise efforts and initiatives
  • Bring expertise or identify subject matter experts to analyze and synthesize information, develop insights, and produce recommendations based on company and external data analysis

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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