91 applicants

Company

Humana · 2 days ago

Director, Complex Care Strategy Advancement

Remote Nationwide

Full-time

Remote

Lead/Staff, Director/Executive

$136K/yr - $187K/yr

5+ years exp

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Responsibilities

Lead strategic opportunity sizing and development by conducting comprehensive assessments to identify opportunities that align with organizational goals, evaluate their potential value, and prioritize initiatives with the highest impact.

Drive operational and clinical feasibility validation by collaborating with operational, technology and clinical teams to assess the feasibility of proposed programs, ensuring alignment with organizational capabilities and resources.

Lead the evaluation process to determine go/no-go decisions for initiatives, ensuring data-driven and evidence-based justifications for implementation.

Develop and oversee robust performance evaluation frameworks to measure program outcomes, track progress and impact against benchmarks and/or targets, and inform continuous optimization strategies.

Analyze current and emerging health trends to predict future needs, shaping proactive strategies that position the organization for success.

Engage with internal and external stakeholders to gather diverse perspectives and data, ensuring a holistic approach to decision-making and program design.

Implement tools and processes to track program impact, assess return on investment, and identify opportunities for refinement and scaling.

Qualification

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Health-related strategyData analysisValue-based careChange managementCollaboration skillsHealth care regulationsComputer skillsPerformance evaluationValue driversProject managementRelationship-building skills

Required

Bachelor’s degree

A minimum of five years progressively responsible professional experience in health-related strategy and operations positions, preferably in value-based care, particularly managed care or full risk models

A minimum of five years of project/people leadership experience

Data, product, analytics and impact translator skills to effectively engage cross-functionally in assessing opportunity and feasibility of strategic initiatives

Experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment

Excellent qualitative and quantitative analytic skills, with the ability to ask the right question to attack 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

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

Remote role

Occasional travel, 20-30% to various CenterWell and Conviva markets or team on-sites

Preferred

Master of Business Administration with a minimum of three years experience post Master’s level training, health care actuarial experience, health care technical product and analytics experience

Experience working with complex and matrixed value-based health care organizations

Experience in a top-tier management consulting firm, venture capital, private equity or similar environment

Benefits

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

Company

Humana

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10001+ employees

http://www.humana.com

H1B Sponsorship

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2020 (107)