Strategy Advancement Lead - Humana at Home Care Management Team- WAH Nationwide

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Job Information

Humana

Strategy Advancement Lead - Humana at Home Care Management Team- WAH Nationwide

in

Newport

Rhode Island

Description

About Humana Care Management: Are you passionate about the influencing strategy focused on improving the health outcomes for Medicare Advantage population? Are you looking for an opportunity to directly impact the positive outcomes of services provided within a telephonic care management services as we help our members lead healthier, independent lives? If so, becoming a part of Humana's Care Management Team and the Clinical Outcome Team may be a fit for you! Our Care Management team is a mission driven organization by supporting Humana members, identifying and addressing member care needs, including social determinates of health with the goal of positively impacting members and caregivers quality of life

Responsibilities

The Strategy Advancement Lead provides data-backed strategic direction to identify and address business issues and opportunities related to the high-needs MA and SNP populations that benefit from Humana's Care Management services. This role will focus on opportunities to improve member health outcomes, member and care manager experience, clinical quality, Stars program performance and savings to medical costs. The Strategy Advancement Lead works on diverse and complex problems by bringing their own contributions together with other key stakeholders from across the enterprise (clinical, quality, operations, analytics, enterprise Stars team and business) and leading the end-to-end project of strategy development for key priorities.

The Humana Care Management Clinical Outcomes team within Humana's Home Solutions organization is focused on improving clinical outcomes and delivering on business priorities for care management programs. Our team employs a rigorous process to set specific business priorities, identify the greatest sources of value, and lead a multi-disciplinary process to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience.

In this context, the Strategy Advancement Lead will drive initiatives to analyze complex problems and issues related to care management using data and insight from internal and external sources, with a focus on Stars performance within the set of members served in care management. Brings expertise or identifies subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans. Works closely with associates and executive leaders from across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance care management strategy and Stars performance. Ultimately, will work with operational owners to translate strategic recommendations to execution plans for implementation. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks.

The Strategy Advancement Lead will:

Engage in an ambiguous problem solving and strategy setting

Use data and insight from experts to identify the greatest opportunities in clinical outcomes, quality, cost, and experience for members in care management programs

Lead cross-functional teams to define discrete opportunities that are both impactful and achievable

Work directly with cross-functional partners across the enterprise to create the execution model and roadmap to capture prioritized opportunities

Required qualifications

Bachelor's degree with 6 plus years of experience OR Master's level degree with 3 plus years of experience in driving and creating strategy, project leadership, health care industry and either direct people leadership and/or experience leading others by influence

Previous experience in strategy consulting, commercial, business strategy, clinical and operational area and/or related roles

Experience leading cross-functional group of leaders/teams and initiatives

Strong communication skills both verbal and written, with ability to flex to different audiences, including senior leadership

Proven skills influencing others and a track record of success leading through ambiguity 

Ability to interpret and leverage data and analytics to improve strategy and make recommendations; ability to complete analysis and modeling of data to drive insights and recommendations for strategy advancement

Proven organization, planning and prioritization skills to collaborate with multiple enterprise departments and stakeholders; ability to execute within deadlines

Passionate about impacting high-needs population health outcomes and social determinates of health

*Ability to work independently to manage projects to achieve objectives

Competency with Microsoft Office suite (PowerPoint, Excel)

Preferred Qualifications

Exposure or experience with clinical care delivery and interventions and/or care management

Understanding of Medicare Stars Program

Additional information

This role could require occasional travel for meetings several times a year.

For this job, associates are required to be fully COVID vaccinated, including booster or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination, including booster or commit to testing protocols OR  

Provide proof of applicable exemption including any required supporting documentation

Medical, religious, state and remote-only work exemptions are available.

Humana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com