Humana · 19 hours ago
Senior Clinic Operations Strategy Professional
United States
Full-time
Remote
Mid, Senior Level
$86K/yr - $119K/yr
2+ years expHumana is a leading healthcare company dedicated to putting health first. The Senior Clinic Operations Strategy Professional develops and manages oversight of the Medicare Advantage Stars Program, focusing on improving quality star ratings and tracking performance metrics for the Primary Care Organization.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Identifies key areas of focus for quality star rating improvement in the Primary Care Organization (PCO) using data analytics
Develops customized, dynamic, reports and dashboards to track performance for the PCO relative to Value Based Contract Requirements for multiple payors
Tracks market level Stars performance against measurement projections and goals
Maintains collaborative relationships with internal partners (Data Analytics, Performance and Trend, Clinical, Contracting, and Finance)
Is a critical thinker who has initiative to manage multiple projects with resilience, flexibility, and a high level of independent thinking
Has experience in value-based care arrangements
Has strong written and verbal communication skills
Qualification
Required
Bachelor's Degree in Business, Healthcare, or other relevant area
2 or more years of healthcare data analysis experience (in the past 5 years)
1 or more years' experience with tools such as SAS, Power BI, SSIS, Power Apps, Power Automate, Tableau, Qlikview and/or Microsoft Access
Experience with Running analysis, automating processes, creating dashboards, self-service tools, and/other data visualizations
Comprehensive knowledge of Microsoft Office Applications including Word, and PowerPoint
Understanding of metrics, trends and the ability to draw insights from provided data to identify gaps in strategy
Experience in completing efficient analysis of data with associated conclusions and recommendations for improvement
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Preferred
Master's Degree in Business Administration, Health Administration or a related field
Understanding of CMS Stars, performance measures, HEDIS knowledge and experience
Pharmacy management experience
Self-starter with a high level of accountability and a strong desire to excel in a fast-paced, highly-demanding environment
Progressive experience in the health solutions industry
Prior managed care experience
Background working in quality improvements
Proven organizational and prioritization skills and ability to collaborate with multiple departments
Data analysis, experience with relational databases
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
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
Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
Recent News
2026-02-03
Company data provided by crunchbase