Jackson, MS, 39203, USA
18 hours ago
Director, Strategy Advancement and Operations – Home-Based Care Programs
**Become a part of our caring community and help us put health first** The Strategy Advancement and Operations Director for Home-Based Care Programs is a critical leadership role responsible for the success of the Home-Based Care portfolio within the Complex Care vertical of centralized programming to serve CenterWell Senior Primary Care’s (and Conviva Senior Primary Care’s) highest need and complexity patients. The Director is response for the strategic direction, execution and ongoing management of our innovative home-based care initiatives designed to improve quality and reduce costs for high-risk senior populations in full-risk Medicare arrangements. This role will focus on improving current clinical care delivery, operational efficiency, and patient outcomes in existing markets while advancing and executing the strategy to build the infrastructure to scale our home-based care programming nationally across CenterWell. Working in a highly matrixed environment, the Director will collaborate closely with clinical, operations, analytics, medical economics, technology, and finance teams to optimize program design, enhance care delivery, and drive measurable outcomes. For programs driven via vendor partnerships, the Director will own the core relationship and drive the partnership to meet established SLAs and achieve desired outcomes. The ideal candidate will possess a strong strategic and operational background (particularly with a lens toward care delivery offerings), a deep understanding of value-based care principles, and a proven ability to lead and motivate cross-functional teams. **Key Responsibilities** Portfolio scope + Integrated Home Care Program – Own our 3-markets-and-scaling co-management model for APPs to care for bedbound or high morbidity, polychronic, homebound patients in the home, in partnership with PCP. + Avoidable ED impact – Drive strategy and program development to address clinically appropriate ED diversion. Own performance of our current vendor-based partnership with Dispatch Health to engage patients likely to use the ED for primary care or urgent care-appropriate services with lower acuity resources in their home. + Primary Care – Home Health care model integration: Drive strategy and program development to better coordinate primary care and home health providers in their efforts to support post acute patients or patients eligible for longitudinal home health and reduce avoidable (re)admissions. Drive pilots, including scaling co-management model for physician champion to intermediate Home Health and PCP services to better address patient needs while under care of home health skilled nursing, therapies, supports and reduce avoidable (re)admissions. + New programming as advance Home-Based Care strategic plan. Operational Leadership & Excellence + Translate strategic initiatives into detailed operational plans with clear timelines, resource requirements, and performance metrics. + Oversee program(s) implementation, working closely with clinical, operations, analytics, medical economics, technology, and finance teams to ensure seamless execution. + Monitor program(s) performance against established goals, identifying and addressing operational challenges proactively. + Collaborate with leadership to develop and implement long-term strategic plans for programs within the Home-Based Care portfolio. 2. Strategic Expansion + Develop and execute a strategic plan and roadmap to scale programs across CenterWell’s national footprint. + Identify new markets for expansion, assess feasibility, and lead the implementation of home-based care services. + Build scalable infrastructure, including standardized training frameworks and operational guides, to ensure consistency in new markets. + Build scalable workflows, technology platforms (e.g., telehealth, remote monitoring), and partnerships to support growth. Team Leadership and Collaboration + Provide leadership and direction to the Home-Based Care program teams, fostering a culture of collaboration, accountability, and continuous learning + Build strong relationships with internal and external stakeholders, promoting effective communication and collaboration. + Work collaboratively with National Medical Director to ensure the delivery of high-quality, patient-centered care. + Partner with data and analytics teams to leverage data insights for program optimization and decision-making. Performance Management and Continuous Improvement: + Implement and maintain robust performance evaluation frameworks to track program outcomes, progress against benchmarks, and return on investment. + Analyze program data to identify areas for improvement and develop data-driven strategies to enhance efficiency and effectiveness. + Lead continuous improvement initiatives, leveraging rapid cycle process improvement methodologies to optimize program workflows and enhance care delivery. + Develop and implement corrective action plans to address performance gaps and ensure program goals are met. + Stay abreast of industry trends and best practices in home-based care, identifying opportunities to enhance programs’ effectiveness. Resource Management and Budget Oversight: + Manage program budget effectively, ensuring efficient allocation of resources and adherence to financial targets. + Identify and evaluate opportunities to improve program efficiency and reduce costs. + Oversee the procurement and management of necessary resources, including technology, equipment, and personnel. **Use your skills to make an impact** **Required Qualifications** + Bachelor’s degree + 5-7 years progressively responsible professional experience in health-related strategy and operations positions, preferably in value-based care, particularly managed care or full risk models + 2-5 years of people leadership experience + 2-5 years of project / program leadership experience + Experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment, within and outside of direct reporting lines + Excellent qualitative and quantitative analytic skills, with the ability to ask the right questions to identify the root causes of problems to be addressed + Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to optimize system-level processes + Curious, quick learner, innovator but data- and evidence-driven + Experience in managing change by leading and energizing others, modeling adaptability, and inspiring strong organizational performance through periods of transformation, ambiguity, and complexity + Excellent relationship-building skills and proven ability to work collaboratively through various departments and functional areas, promoting a culture of proactive teamwork + Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with executive leadership and multiple types of audiences + The ability to clearly explain complex ideas, analytic insights and technologies to non-technical audiences **Preferred Qualifications** + Master of Business Administration with three years experience post Master’s level training, health care actuarial experience, health care technical product and analytics experience + Data, product, analytics and impact translator skills to effectively engage cross-functionally in assessing opportunity and feasibility of strategic initiatives **Knowledge/Skills/Abilities/Competencies** **Required** + Strong leadership skills with the ability to gain buy-in and engage in complex teams + Exceptional communication and interpersonal skills, with the ability to collaborate effectively with executives, clinicians and data & finance teams and to synthesize, communicate and syndicate effectively with stakeholders at all levels. + Strong analytical and problem-solving skills with the ability to develop and implement metrics to measure the effectiveness of strategic programs addressing care transitions, high risk patients, etc. + Understanding of clinical operations and ability to guide priorities, process development and implementation. + Understanding of quality and value drivers in full risk care delivery, ideally in Medicare/seniors + Demonstrated ability to work collaboratively with clinical and operational leaders across a complex health care organization. + Knowledge of health care regulations and policies related to care transitions and post-acute care management. + Computer skills in word processing, database management, spreadsheets, and report writing. + Proficiency in tracking and evaluating process/system outcomes and performing and monitoring rapid cycle process improvement. + Excellent project and program management skills **Additional Information** + Remote role + Occasional travel, 30-40% to various CenterWell and Conviva markets or team on-sites Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $168,000 - $231,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 07-07-2025 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
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