Care Management Strategy Lead

Care Management Strategy Lead

Become a part of our caring community and help us put health first. Are you a big picture thinker who likes to solve problems and set strategy? Are you interested in directly impacting care management services that help our members lead healthier, independent lives? Are you passionate about improving the health outcomes for the Medicare Advantage population? If so, you may be the Care Management Strategy Lead that Humana's Care Management Strategy Team is looking for!

Our team is a mission-driven organization supporting Humana members and their caregivers, by identifying and addressing member care needs to achieve the goal of positively impacting members and caregivers' quality of life. Humana's Care Management Strategy organization is focused on improving clinical outcomes and delivering on business priorities for the members we serve. Our team partners with Care Management and other enterprise partner teams by employing a rigorous process to set specific business priorities and identify the greatest sources of value. The Strategy Advancement Advisor will drive strategy development by collaborating with a multi-disciplinary team to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience.

Responsibilities include the following :

• Drive initiatives to analyze complex problems and issues related to care management using data and insight from internal and external sources with a focus on Stars performance and members served in care management programs.
• Provide data-backed strategic direction to identify and address business issues and opportunities related to the high-needs Medicare Advantage and SNP (Special Needs Plan) populations that benefit from Humana's Care Management services.
• Identify and operationalize opportunities to improve member health outcomes, member and care manager experience, clinical quality, Stars program performance and savings to medical costs.
• Work with operational owners and key business partners to translate strategic recommendations into execution plans for end-to-end implementation.
• Solve diverse and complex problems by bringing your own contributions while partnering with other key stakeholders from across the enterprise (clinical, quality, operations, analytics, enterprise Stars team and business).

Success in this role will require the ability to :

Use your skills to make an impact

Required Qualifications

Preferred Qualifications

Additional Information