Senior Strategy Professional, Care Management
HumanaAbout the role
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
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