Strategy Advancement Advisor-Stars Strategy

Profile

Job Information
Humana
Strategy Advancement Advisor-Stars Strategy
in
Louisville
Kentucky
Description
Job Summary
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 Strategy Advancement Advisor Humana's Clinical Strategy Care Management 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.
Responsibilities
Humana's Clinical Strategy organization is focused on improving clinical outcomes and delivering on business priorities for the members we serve.
As part of CQES organization, our Clinical Strategy 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 MA 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.
Required Qualifications
Bachelor's degree with 6 or more years of experience or Master's degree with 4 plus years of experience in driving and creating strategy, project leadership and/or operational leadership experience
Previous experience in strategy consulting or advising in a business strategy, clinical and/or operational area
Proven ability to interpret and leverage data and analytics to improve strategy and make recommendations
Ability to complete analysis and modeling of data to drive insights and recommendations for strategy advancement
Experience leading cross-functional group of leaders/teams and initiatives
Strong communication skills both verbal and written, with ability to flex to different 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; ability to execute within deadlines
Passionate about impacting high-needs population health outcomes and social determinates of health
Ability to work independently to manage projects to achieve objectives
Competency with Microsoft Office suite (PowerPoint, Excel)
Preferred Qualifications
Advanced degree in relevant field or MBA
Exposure or experience with clinical care delivery and interventions and/or care management
Prior experience or exposure to Medicare Stars Program
Additional Information
Work-At-Home Requirements:
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Why Humana? You'll experience the following perks as a full-time Humana employee:
Compensation and Financial Security -
Our pay philosophy is designed to motivate and reward associates for their skills and contributions to the company. We provide options to help you plan for your future and protect your assets: Competitive base pay, Recognition pay, 401(k) retirement savings plan (125% match for the first 6% contributed by an associate), etc.
Your Whole Health -
Humana's health products and services are designed to encourage personal wellness and smart healthcare decisions for you and your family: Medical, dental, and vision benefits, Health plan incentives, Paternity leave, etc.
Work Perks -
Humana knows your life extends outside of work. We have many options to support your interests and needs. Some departments have the flexibility to allow associates to work from home, and we offer all associates: Paid time off, holidays, volunteer time, jury duty pay, Associate charity matching program, Discount programs with major retailers, etc.
Grow With Us -
Humana provides growth and career opportunities that can help you develop your skills and build your future with the organization: Internal and external learning events, Tuition assistance, Inclusion and diversity training, etc.
Social Security Task:
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from **** with instructions to add the information into the application at Humana's secure website.
Interview Format:
As part of our hiring process for this opportunity, you may be utilizing our interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

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