Senior Strategy Professional, Care Management

Become a part of our caring community and help us put health first
 Join Humana as a Senior Strategy Advancement Professional and play a pivotal role in shaping innovative strategies for our high-needs Medicare Advantage and SNP populations. In this impactful position, you'll leverage data-driven insights to tackle complex business challenges, drive improvements in member health outcomes, and enhance both care manager and member experiences. Collaborating with dynamic teams across clinical, quality, operations, and analytics, you'll help lead transformative initiatives that advance clinical quality and deliver meaningful cost savings—making a tangible difference in the lives of our members and the future of care management.

The Humana Care Management Strategy Team 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 Senior Strategy Advancement Professional will:

• Drive initiatives to analyze complex problems and issues using data and insights from internal and external sources to identify the greatest opportunities in clinical outcomes, quality, cost, and experience for members in care management programs
• Bring expertise or identify subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans.
• Work closely with associates and leaders from across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance care management strategy.
• Work with operational owners to translate strategic recommendations into execution plans for implementation.
• Drive and support strategic initiatives for developing, integrating, and optimizing care management programs and enterprise value opportunities in collaboration with internal assets, partners, and enterprise-wide initiatives.
• Engage in an ambiguous problem solving and strategy setting.
• Support cross-functional efforts 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.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree with 2+ years of experience in driving and creating strategy or project leadership OR Master's level degree with 1+ years of the same experience.
• Experience interpreting and leveraging data and analytics to improve strategy and make recommendations, including data driven story telling.
• Experience completing analysis and modeling of data to drive insights and recommendations for strategy advancement.
• Experience communicating effectively, both verbally and in writing, and adapting messaging for various audiences, including senior leadership.
• Proven skills influencing others and a track record of success operating in ambiguity. 
• Proven organization, planning and prioritization skills to collaborate with multiple enterprise departments and stakeholders and the ability to execute within deadlines.
• Proficient in Microsoft Office, including Power Point and advanced Excel skills, e.g. creating pivot tables, manipulating multi-faceted data, and using complex formulas.

Preferred Qualifications

• Previous strategy consulting experience with a consulting firm.
• Advanced degree in relevant field or MBA.
• Exposure or experience with clinical care delivery and interventions and/or care management operations.
• Prior experience or exposure to Medicare Stars Program.
• Experience leading cross-functional group of stakeholders/teams and initiatives.

Additional information

• Workstyle: remote, work from home.
• Travel: as needed for meetings, up to 20%
• Typical work days/hours: Monday – Friday, 8:00 am – 5:00 pm EST

WAH Internet

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.

HireVue

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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay 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.$86,300 - $118,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.Application Deadline:
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.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

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