Stars Program Delivery Lead
Remote US
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.
Use your skills to make an impact
The Stars Health Equity team is seeking an exceptional, highly motived, 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 solutions, balance a full and expanding slate of test and learns and contribute to core functions and team strategic priorities.
Key responsibilities include:
- Independently prioritize, expand, and manage portfolio of enterprise stakeholders focused on run the business operations and Market/provider strategy.
- 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 recommendations for cross-functional collaborative projects and operational work.
- 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 tactics and capitalize on upstream opportunities and shared priorities.
- Communicate and manage risk, and anticipate downstream impacts while maximizing value and create 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 ability to switch among competing tasks and priorities
Required Qualifications
- Bachelor's degree
- 8 or more years of technical experience
- 2 or more years of project leadership experience
- Proficiency in evaluating complex problems using qualitative and quantitative data and using that data to tell a story and present it clearly
- Strong knowledge of Microsoft Office XP products (Word, Excel, PowerPoint)
- Excellent communication skills: listening, oral and written
- Exceptional relationship building skills
Preferred Qualifications
- Master's Degree in Business Administration or a related field
- PMP certification a plus
- Six Sigma Certification also a plus
- Knowledge and experience in health care environment/managed care
- Strong analytical skills
Additional Information
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
ApplyJob Profile
California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Montana Remote US South Dakota Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota
Benefits/Perks401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Competitive benefits Dental Disability Flexible working style Health outcomes Holidays Impactful work Innovative solutions Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Smart healthcare decisions Support whole-person well-being Time off Vision Vision Benefits Volunteer time Volunteer time off Work From Home
Tasks- Communicate team strategy
- Communication
- Decision making
- Develop documentation
- Documentation
- Implement health outcome strategies
- Influence partners
- Lead cross-functional projects
- Maintain documentation
- Manage stakeholder portfolio
- Process Improvement
- Research
- Training
Analytical Best Practices BI Business Business administration Business Operations CMS Collaborative Communication Compensation Cross-functional Collaboration Data Decision making Dental Documentation Excel Functions Governance Health care Healthcare Healthcare services Health Equity Health outcomes HIPAA Initiative Insurance Investigations IT Leadership Life Insurance Listening Managed Care Medicaid Medicare Medicare Advantage Metrics Microsoft Microsoft Office Operational processes Operational strategy Operations Organization Organizational PMP Policy PowerPoint Presentations Problem-solving Process Improvement Program delivery Project leadership Quality Metrics Recruitment Relationship building Research Risk Security Six Sigma Stakeholder management STARS Storytelling Strategic planning Strategy Teams Technical Technology Training Vision Wellness Word
Experience8 years
EducationAssociate Bachelor's Bachelor's degree Business Business Administration Communication Education Healthcare Health Outcomes Higher IT Master's Master's degree Master's degree in Business Master's Degree in Business Administration Operations Related Field
CertificationsPMP PMP certification Six Sigma Six Sigma certification
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9