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Strategic Advancement Leader

2 months ago

Louisville, Kentucky, United States Humana Full time
About the Role

We are seeking a highly skilled and experienced leader to join our Home Solutions team as an Associate Vice President, Strategy Advancement. This role will play a critical part in shaping and influencing strategy for home-centric care models, with a focus on in-home primary care.

Key Responsibilities
  • Shaping and influencing strategy for home-centric care models, including identifying opportunities to improve care model design, strengthen member experience, and increase operational efficiency.
  • Designing and implementing operational approaches to stand up these home-centric care models within Humana, including member engagement and enrollment, provider directory design, contract design and loading, claims processing, and compliance processes.
  • Scaling innovative home-centric care models through footprint expansion and membership growth, including partnering with Medicare leaders on market expansion and with Marketing, Medicare leadership, and other Humana teams on intra-market growth.
  • Stakeholder relationship management and leadership, including owning executive and C-suite level relationships across a diverse array of matrixed Humana teams and with key external partners.
  • Strategy management and reporting, including developing robust dashboards and milestones related to emerging home-centric care model performance and providing data-driven updates and recommendations to senior leadership.
Requirements
  • Bachelor's Degree
  • 10 years of experience in a combination of healthcare strategy and healthcare operations
  • 5 years of leadership specifically in the Medicare payer space, ideally with experience navigating payer-provider organizations
  • Broad array of competencies and experience ranging from high level strategy development to complex operational oversight and implementation
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Experience with high level strategic and operational focus within an MA payer or payer-provider organization
  • Thought leader who recognizes and opportunities to rethink status quo and is comfortable appropriately voicing these perspectives to drive change
  • Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome
  • The polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences
  • Ability to work independently in an entrepreneurial, fast paced environment
  • Self-starter, comfortable with ambiguity and also execution oriented
Preferred Qualifications
  • MBA or other advanced degree
  • Proven ability to lead high profile horizontal initiative(s) within a matrixed MA payer or payer-provider organization
  • Significant experience with Medicare products and processes, with particular focus on Medicare risk adjustment, documentation, and/or in home wellness assessments
  • Significant experience with value-based primary care and/or home-centric care models