Humana · 2 days ago
Senior Strategy Advancement Professional
United States
Full-time
Remote
Mid, Senior Level
$86K/yr - $119K/yr
3+ years expHumana Inc. is committed to putting health first, and they are seeking a Senior Strategy Advancement Professional to support the design and implementation of strategic initiatives within the Utilization Management function. The role involves leveraging data-driven insights and collaborating with various teams to optimize processes and enhance experiences for members and providers.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Support the design, implementation, and advancement of strategic initiatives within the Utilization Management (UM) function
Leverage data-driven insights, industry best practices, and cross-functional collaboration to optimize UM processes, improve clinical outcomes, and enhance member and provider experiences
Develop and execute strategies to advance UM program effectiveness and efficiency in alignment with organizational goals and regulatory requirements
Analyze UM data, identify trends, and recommend actionable solutions to address opportunities for process improvement and cost management
Collaborate with clinical, actuarial, operations, and compliance teams to ensure integration of UM strategies across business units
Monitor the performance of UM initiatives using defined metrics and prepare regular reports and presentations for leadership
Participate in cross-functional workgroups, supporting project management and change management efforts
Maintain current knowledge of industry regulations, accreditation standards, and emerging trends in utilization management
Support the organization’s commitment to talent development, diversity, equity, and inclusion by engaging in ongoing learning and development opportunities
Qualification
Required
Bachelor's degree in healthcare, business, actuarial science, or a related field
Minimum of 3 years of experience in utilization management, healthcare strategy, or a related field
Demonstrated ability to use data analytics and project management principles to drive strategic initiatives
Strong communication, collaboration, and organizational skills
Familiarity with relevant regulations and accreditation standards (e.g., NCQA, URAC)
Preferred
Experience in actuarial analysis, healthcare quality improvement, or program management
Advanced degree or professional certification (e.g., RN, LPN, MBA, PMP, ASA/FSA)
Experience with designing and implementing clinical documentation systems
Benefits
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Medical, dental and vision benefits
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-07
2026-01-06
2026-01-04
Company data provided by crunchbase