Stars Program Delivery Lead

Posted 3hrs ago

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Job Description

Population health strategy lead improving Medicare Stars outcomes at Humana, a U.S. healthcare company. Designing programs, analyzing data, and advancing quality initiatives.

Responsibilities:

  • Develop strategies and execute initiatives to improve health outcomes for defined populations
  • Design evidence-based population health programs
  • Coordinate care management
  • Collaborate with internal and external stakeholders to address health disparities, optimize resource utilization, and advance quality initiatives
  • Design and implement initiatives addressing health risks, disparities, and gaps in care
  • Analyze data and population metrics to identify trends and improvement opportunities
  • Measure program effectiveness and adjust strategy to achieve targeted outcomes
  • Build and maximize relationships with member- and provider-facing stakeholders
  • Monitor initiative performance and develop deep, holistic operational reporting
  • Provide regular executive summary roll-ups to Stars leadership

Requirements:

  • 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
  • Master's Degree in Public Health, Business Administration or a related field (preferred)
  • Knowledge and experience in health care environment/managed care and/or Medicare Stars (preferred)
  • Agile or product management certification (preferred)
  • Strong analytics background (preferred)
  • This role is not eligible for work visa sponsorship
  • Minimum home internet speed of 25 Mbps download and 10 Mbps upload
  • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

Benefits:

  • Bonus incentive plan based on company and/or individual performance
  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Personal wellness and smart healthcare decision support
  • Occasional travel to Humana offices for training or meetings