Strategic Healthcare Leader

2 weeks ago

Brentwood, Tennessee, United States CLevelCrossing Full time
AVP Strategy Advancement Job Description

Humana, a leading integrated healthcare company, is seeking an experienced healthcare leader to join our team as Associate Vice President, Strategy Advancement for our Healthcare Quality Reporting and Improvement (HQRI) organization.

About the Role

The AVP will play a key leadership role on the HQRI team, partnering directly with the HQRI leadership team, leaders across the enterprise, and external companies to create Medicare Risk Adjustment strategies to support Humana's industry-leading position.

Key Responsibilities
  • Deliver on a wide range of strategy and development activities, including business unit level strategy and enterprise level partnerships
  • Convert strategy/development priorities into business cases and projects while prioritizing timelines and ensuring consensus and execution
  • Refine strategy for Risk Adjustment and Stars/Quality with respect to new clinical programs, connecting to both existing work within the enterprise and new opportunities
  • Leverage external industry experience to identify new opportunities to maintain competitive advantage in the market with respect to Risk Adjustment and Stars/Quality
  • Conceptualize, develop, and execute new opportunities in conjunction with corporate and market partners
  • Partner with Government Affairs to ensure focus on new and future regulations and policy
  • Collaborate with Retail leaders to develop and deliver executive and market level reporting for Stars/Quality and Risk Adjustment
  • Develop and manage annual Operational and Key Results for HQRI that are tracked at the enterprise level
  • Support Enterprise Merger and Acquisition partners to evaluate potential procurement opportunities focused on risk adjustment capabilities
  • Identify opportunities and impacts as a result of Centers for Medicare and Medicaid Innovation enhancements and offerings
  • Compose responses to industry-based inquiries in partnership with Corporate Communications
  • Represent SVP, HQRI in enterprise-level to ensure all Risk Adjustment and Stars/Quality impacts and opportunities are considered
  • Keep a close connection to market trends and external opportunities, including developing and growing professional network in key strategic areas
Requirements

The ideal candidate will have current or recent healthcare industry experience on the payer side (typically at least two years) with responsibility for the creation and ownership of strategies for a large business unit. This person will also have a proven record of success in orchestrating the efforts of cross-functional colleagues in large-scale projects.

Bachelor's degree in a relevant field is required. In addition to the above, the following technical qualifications and personal attributes are also sought:

  • Strong business acumen and analytical skills
  • Ability to identify, structure, and solve ambiguous business problems
  • The ability to 'connect the dots' and understand how to optimize system-level processes and resources
  • A record of success in attracting, developing, and motivating top talent from inside and outside of the organization, and preparing direct reports for expanded responsibilities
  • Experience in managing change by leading and energizing others, modeling adaptability, and inspiring strong organizational performance through periods of transformation, ambiguity, and complexity
  • Excellent relationship-building skills and proven ability to work collaboratively through various departments and functional areas, promoting a culture of proactive teamwork
  • Current or recent experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment
  • Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences
  • Vendor management experience
  • Functional experience in the Medicare Stars/Quality or Risk Adjustment areas is a plus
  • MBA preferred

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