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

Are you a big picture thinker who likes to solve problems and set strategy? Are you interested in directly impacting care management services that help our members lead healthier, independent lives? Are you passionate about improving the health outcomes for the Medicare Advantage population? If so, you may be the Care Management Strategy Lead that Humana’s Care Management Strategy Team is looking for! Our team is a mission-driven organization supporting Humana members and their caregivers, by identifying and addressing member care needs to achieve the goal of positively impacting members and caregivers' quality of life.

Humana’s Care Management Strategy organization is focused on improving clinical outcomes and delivering on business priorities for the members we serve.  Our Team partners with Care Management and other enterprise partner teams by employing a rigorous process to set specific business priorities and identify the greatest sources of value. The Strategy Advancement Advisor will drive strategy development by collaborating with a multi-disciplinary team to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience.

Responsibilities include the following:

• Drive initiatives to analyze complex problems and issues related to care management using data and insight from internal and external sources with a focus on Stars performance and members served in care management programs.

• Provide data-backed strategic direction to identify and address business issues and opportunities related to the high-needs Medicare Advantage and SNP (Special Needs Plan) populations that benefit from Humana’s Care Management services.

• Identify and operationalize opportunities to improve member health outcomes, member and care manager experience, clinical quality, Stars program performance and savings to medical costs.

• Work with operational owners and key business partners to translate strategic recommendations into execution plans for end-to-end implementation.  

• Solve diverse and complex problems by bringing your own contributions while partnering with other key stakeholders from across the enterprise (clinical, quality, operations, analytics, enterprise Stars team and business).

Success in this role will require the ability to:

• Engage in an 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 in care management programs.
• Communicate initiatives to audiences at all levels of the organization.
• Lead cross-functional teams with an ability to influence without authority.
• Give definition to discrete opportunities that are both impactful and achievable.
• Forecast the value of key initiatives.
• Work directly with cross-functional partners across the enterprise to create the execution model and roadmap for prioritized opportunities.

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s degree with 6 or more years of relevant strategic work experience creating and driving cross-functional strategy OR Master’s degree with 4 plus years of the same experience.
• Experience interpreting and leveraging data and analytics to improve strategy and make recommendations, with strong problem-solving skills.
• Experience completing analysis and modeling of data to drive qualitative and quantitative insights and recommendations for strategy advancement.
• Experience leading cross-functional group of leaders/teams and initiatives.
• 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 leading through ambiguity.
• Proven organization, planning and prioritization skills to collaborate with multiple enterprise departments and stakeholders and the ability to execute within deadlines.
• Competency with Microsoft Office suite (PowerPoint, Excel, etc.).

Preferred Qualifications 

• Consulting firm experience in strategy consulting or advising in a business strategy, clinical and/or operational area.
• Advanced degree in relevant field or MBA.
• Strategy Management consulting experience
• Exposure or experience with clinical care delivery and interventions and/or care management.
• Prior experience or exposure to Medicare Stars Program.

Additional Information

• Workstyle: remote, work from home.
• Travel: