Become a part of our caring community and help us put health first
 

The UM Strategy team is a multi-disciplinary team focused on creating data-driven strategies to transform our business and the experiences we create for our members, provider partners & associates. We partner closely with our operations partners, working hand-in-hand to translate these strategies into concrete roadmaps that will generate tangible value to all stakeholders.

Within Utilization Management, our goal is to enable members to receive the most appropriate type of care as quickly as possible … all while streamlining processes for our provider partners and reducing unnecessary costs from the healthcare system.

Our team employs a rigorous process to set specific business priorities, identifies the greatest sources of value, and leads a multi-disciplinary process to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience.

This role would be a great fit if …

• You are driven by the opportunity to use your strong strategic and analytical acumen to drive impact and create significant measurable value.
• You are passionate about collaboration and partnering across the enterprise to develop pragmatic, high-value strategies and drive exceptional operational execution of our key objectives.
• You are curious – you enjoy connecting the dots between business metrics and frontline, understanding key root causes for what we see in data, testing hypotheses for what we could improve to drive value, and transforming ideas into action.

The UM Strategy Lead will analyze complex problems and issues related to member care and medical cost. This role is highly collaborative and will work closely with associates and executive leaders from across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance our clinical strategy. Ultimately, they will work with operational owners to translate strategic recommendations to execution plans for implementation.

The UM Strategy Lead will:

• Engage in 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/providers/associates

• 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
 

Role Essentials

• Bachelor’s degree in math or business related

• Minimum 2 years of experience with a leading management consulting firm

• Strong analytical & strategic skillset

• Ability to interpret and leverage data and analytics to improve strategy and make recommendations

• Experience influencing cross-functional groups of leaders/teams and initiatives

• Strong communication skills both verbal and written

• Ability to work independently to manage projects to achieve objectives

• Intermediate to Advanced level competency with Microsoft Office suite (PowerPoint, Excel)

• Intermediate to Advanced level navigating multiple systems/platforms and ability to troubleshoot and resolve general technical difficulties in a remote environment.

Role Desirables

• Health care industry experience

Workstyle: Remote work at Home

Location: U.S.

Schedule: M-F 8:00 AM to 5:00 PM Eastern

Travel: None

SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Interview Format 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.

Remote Work at Home Guidance 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