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The Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

The Stars In-Home Program Delivery Lead develops programs designed to drive Stars performance, partnering with leaders regarding implementation, planning, and improvement; responsible for delivering and increasing the clinical value of the in home program for our members, providers, and Humana.

Direct responsibilities include:

• Reviews and communicates results of programs, analyzing complex sets of data to interpret trends and insights to determine the best course of action​   

• Develops functional strategies to drive Stars performance, guiding and directing external vendors and internal partners

• Exercises independent judgment and decision making, working under minimal supervision

• Provide strategic leadership and collaboration to support Stars and Pharmacy operations, ensuring strong partnerships and driving improvements in Stars-related outcomes during in home visits

• Collaborate with Humana leaders, external partners, and the in home team to identify, prioritize, and implement short- and long-term solutions aimed at boosting Stars ratings and outcomes

• Develop and refine frameworks for deliverables, processes, reporting, and performance monitoring for all Stars-related program components, including referrals, screenings, member follow-up, HRA, PCP summaries, and visit data, with a focus on measurable improvements in Stars metrics

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree

• 7 or more years of program management, vendor management and/or strategy experience

• Stars experience

• Experience presenting to leadership

• Strong relationship building skills

• Strong analytical skills

• Strong knowledge of Microsoft Office XP products (Word, Excel, PowerPoint)

• Demonstrated ability to articulate ideas effectively in both written and oral forms

Desired Qualifications

• Master's Degree in Business Administration or a related field

• HEDIS experience

• PMP certification a plus

Additional Information

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 required; 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.

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 you.

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.

Work at Home Requirements: 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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking