Humana · 5 hours ago
Stars Improvement Principal, Integrated Plans
United States
Full-time
Remote
Lead/Staff
$139K/yr - $191K/yr
10+ years expHumana is committed to putting health first and is seeking a Stars Improvement Principal for Integrated Plans. This role is responsible for developing and managing the Stars enterprise strategy for integrated Dual Eligible Special Needs Plans (D-SNPs), driving performance and quality outcomes by aligning stakeholders and executing strategic initiatives.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Develop and execute the integrated D-SNP Stars contract and improvement strategy, effectively communicating vision and priorities to create alignment and inspire action across the enterprise
Lead and influence key enterprise stakeholders, including Market Leadership, Product, Compliance, Medicaid, and Stars teams, to consensus on contract strategy and Stars performance improvement efforts
Analyze and interpret data on contract performance, market trends, and membership sub-populations, using insights to shape strategic recommendations and educate leadership
Recommend and influence contract structures and consolidations to optimize Stars performance and respond to future market needs
Conduct ongoing market research to monitor changes in the Medicare and Medicaid landscapes, ensuring strategies are responsive to industry trends and competitor activity
Establish and track key performance indicators for strategy success, making data-driven adjustments as needed
Serve as an advanced subject matter expert on integrated D-SNPs, Medicare Stars, and related regulatory requirements, providing strategic guidance to teams across the organization
Foster a culture of accountability and continuous improvement in Stars performance through strong collaboration and relationship-building
Qualification
Required
Bachelor's degree in Healthcare Administration, Business Administration, or related field or equivalent experience
10+ years of experience in healthcare strategy, contract management, or market finance roles
2+ years of proven cross-functional leadership experience
Deep understanding of Medicare and Medicaid regulations, reimbursement methodologies, and industry trends
Strong analytical and data interpretation skills, with the ability to translate insights into actionable strategies
Exceptional communication, presentation, and negotiation skills
Demonstrated track record of influencing leaders and driving improvement initiatives in a matrixed organization
Advanced proficiency in Microsoft Office applications (Word, Excel, PowerPoint) and business intelligence tools
Preferred
Master's degree
Experience with Medicare Stars, HEDIS, or D-SNP programs
Background in strategic consulting
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
Cynthia Zipperle
Vice President, Chief Accounting Officer and Controller
Recent News
2026-02-04
HealthCareIT News
2026-02-04
HealthCareIT News
2026-02-04
Company data provided by crunchbase