Strategy Advancement Lead - Clinical Outcomes - Humana
San Juan, PR
About the Job
Become a part of our caring community and help us put health first
The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services. This role will focus on opportunities to improve member health outcomes, member and provider experience, clinical quality, and savings to medical costs. The Strategy Advancement Advisor works on diverse and complex problems by bringing their own contributions together with other key stakeholders from across the enterprise (clinical, quality, operations, analytics, and business) and leading the end-to-end project of strategy development for key priorities.
Location: remote
The Strategy Advancement Advisor will drive initiatives to analyze complex problems and issues related to our Medicare Advantage population using data and insight from internal and external sources. They will bring expertise and/or collaborate with subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans. They will work closely with associates and executive leaders from across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance our clinical strategy. Ultimately, the Strategy Advancement Advisor will support product and operational partners to translate strategic recommendations into tangible, implemented solutions.
This role will help drive strategy development and execution across a range or priority topics. Examples include, but are not limited to, development and optimization of Post-Discharge Medication Reconciliation strategy, Stars-focused interventions, and other key efforts/pilot programs.
+ 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 and providers
+ 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
+ 2+ years of full-time work experience with a leading management consulting firm, coupled with 2-3+ years of additional full-time work experience in a role requiring core strategy consulting skills/capabilities
+ Experience leading cross-functional group of leaders/teams and initiatives
+ 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
+ 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
+ Ability to work independently to manage projects to achieve objectives
+ Competency with Microsoft Office suite (PowerPoint, Excel)
Role Desirables
+ Advanced degree in relevant field or MBA
+ Previous experience in strategy consulting, commercial, business strategy, clinical and/or operations
+ Exposure or experience with clinical care delivery and interventions
Additional Information
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.
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.$112,400 - $154,900 per yearThis 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.
About 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services. This role will focus on opportunities to improve member health outcomes, member and provider experience, clinical quality, and savings to medical costs. The Strategy Advancement Advisor works on diverse and complex problems by bringing their own contributions together with other key stakeholders from across the enterprise (clinical, quality, operations, analytics, and business) and leading the end-to-end project of strategy development for key priorities.
Location: remote
The Strategy Advancement Advisor will drive initiatives to analyze complex problems and issues related to our Medicare Advantage population using data and insight from internal and external sources. They will bring expertise and/or collaborate with subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans. They will work closely with associates and executive leaders from across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance our clinical strategy. Ultimately, the Strategy Advancement Advisor will support product and operational partners to translate strategic recommendations into tangible, implemented solutions.
This role will help drive strategy development and execution across a range or priority topics. Examples include, but are not limited to, development and optimization of Post-Discharge Medication Reconciliation strategy, Stars-focused interventions, and other key efforts/pilot programs.
+ 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 and providers
+ 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
+ 2+ years of full-time work experience with a leading management consulting firm, coupled with 2-3+ years of additional full-time work experience in a role requiring core strategy consulting skills/capabilities
+ Experience leading cross-functional group of leaders/teams and initiatives
+ 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
+ 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
+ Ability to work independently to manage projects to achieve objectives
+ Competency with Microsoft Office suite (PowerPoint, Excel)
Role Desirables
+ Advanced degree in relevant field or MBA
+ Previous experience in strategy consulting, commercial, business strategy, clinical and/or operations
+ Exposure or experience with clinical care delivery and interventions
Additional Information
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.
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.$112,400 - $154,900 per yearThis 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.
About 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana