The Stars Member Engagement team and Preventive Care Pod is seeking a passionate, strategic, and collaborative teammate to accelerate preventive care efforts for Medicare Advantage members. The Program Delivery Lead will improve Stars quality metrics and member health outcomes by strategically identifying, developing, and implementing programs that make it easier for members to complete preventive visits with their PCP as well as complete appropriate cancer screenings. This associate will work on problems of diverse scope and substantial complexity, use independent judgement on analysis of variable factors, and own their work and project milestones. Due to the cross-functional nature of the work, this individual will work closely with multiple internal and external business partners to help ensure that progress is being made toward goals. A broad range of skills including strategic thinking, data interpretation, and program management will be required.
The Program Delivery Lead will:
Work closely with the Preventive Care cross-functional Pod and the Stars Member Engagement team, HEDIS Operations team, and other internal business partners to design and implement initiatives that support long-term strategy
Work with vendors on programs as needed; Monitors program operations and results
Reviews and communicates results of internal and external programs
Prioritize strategic focus areas and make recommendations for cross-functional work teams through data-driven decision making
Competent to work independently at the most advanced level across multiple areas
Effectively communicate strategy and influence partners to impact Stars through story telling
Oversee current day-to-day operational functions, while mapping futuristic needs and enhancements
Identify and communicate opportunities and risks to business partners and leadership to anticipate downstream impacts
Key Competencies:
Operational strategy development, prioritization and execution
Influence and strategic decision making
Program management
Adaptability in fast moving/changing environment
Analytical thinking and data interpretation
Use your skills to make an impact
Role Essentials
8+ years of strategy development and implementation
Proficiency in evaluating complex data, using that data to tell a story, and presenting it clearly
Ability to interpret and leverage data and analytics to improve strategy and make recommendations
Experience in strategy consulting, business strategy, clinical and/or operations areas
Strong presentation skills
Demonstrated ability to articulate ideas effectively in both written and oral forms
Effective facilitator and influencer
Role Desirables
Master's Degree in Public Health, Business Administration or a related field
Knowledge and experience in health care environment/managed care and/or Medicare Stars
Agile or product management certification a plus
Strong analytics background
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.
Scheduled Weekly Hours
40Pay 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.
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: 06-24-2025About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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.