Strategy & Operations Lead – Care Management

About this role

Become a part of our caring community   About Humana Care Management: Are you passionate about improving the health outcomes for the Special Needs population? If so, becoming a part of Humana’s Care Management Team and the Clinical Outcome Team may be a fit for you! Our Care Management team is a mission driven organization that supports Humana members by identifying and addressing member care needs, with the goal of positively impacting members and caregivers quality of life.

The Humana Care Management Clinical Outcomes team within Humana’s Home Solutions organization is focused on improving clinical outcomes and delivering on business priorities for care management programs. Our team employs a rigorous process to set specific business priorities, identify the greatest sources of value, and lead a multi-disciplinary process to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience.

The Strategy & Operations Lead provides data-backed strategic direction to identify and address business opportunities to improve care for Medicare and Special Needs Population (SNP) that benefits from Humana’s Care Management services. Specifically, you will be identifying and operationalizing new innovations that could improve the effectiveness, efficiency, or the member experience of our care management service. In your role, you will solve diverse and complex problems by bringing your own contributions together with other key stakeholders from across the enterprise (e.g. clinical, quality, operations, analytics). You will work with operational owners to translate strategic recommendations into execution plans for implementation.

In this context, the Strategy & Operations Lead will drive initiatives to analyze complex problems and issues related to care management using data and insight from internal and external sources.

The Strategy & Operations Lead will: • Engage in 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

• Lead cross-functional teams to define discrete opportunities that are both impactful and achievable

• Work directly with cross-functional partners across the enterprise to create the execution model and roadmap to capture prioritized opportunities

Use your skills to make an impact   Role Essentials

• Bachelor’s degree

• 7 plus years of experience in strategy, healthcare, operations OR with 4 plus years of experience with a consulting firm or corporate strategy in driving and creating strategy and/or operations experience

• Previous experience in strategy consulting, commercial, business strategy, clinical and operational area and/or related roles

• 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 with qualitative and qualitative analysis

• Demonstrated ability to articulate ideas effectively in both written and oral forms 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

• Ability to work independently to manage projects to achieve objectives

• Competency with Microsoft Office suite (PowerPoint, Excel)

Role Desirables

• Exposure or experience with clinical care delivery and interventions and/or care management

• Direct people leadership experience

• Health care industry

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 recommended; 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

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / H

Similar jobs

• Strategy & Operations Lead — Bjakcareer · Remote
• Strategy & Operations Lead — Sailorhealth · New York City (Soho)
• Director of Care Strategy — Usenourish · New York, NY
• Senior Strategy and Operations Lead — Thomson Reuters · Texas, Frisco, United States | Michigan, Ann Arbor, United States | Minnesota, Eagan, United States
• Manager, Care Management — Humana · Remote
• Manager, Care Management — Humana · Remote
• Clinical Operations Lead — Lark · Remote
• Strategy and Operations, Senior Associate | Healthcare — Eliseai · New York City