Senior Program Delivery Professional

About the role

The Senior Program Delivery Professional manages and executes on all Stars, Clinical, and Pharmacy projects for the In-home Health and Well-being Assessment Team. The role involves moderately complex to complex issues requiring an in-depth evaluation of variable factors.

Responsibilities

• Delivers existing Stars programs included in IHWA program
• Works directly with Stars, Clinical, and Pharmacy partners to identify and prioritize opportunities to incorporate additional clinical value
• Maintains oversight of all in-home visit data collection, ensuring real-time visibility and compliance with policies and Stars requirements
• Oversees operational performance dashboards, proactively identifying issues and coordinating resolution and improvement opportunities
• Manages incident response and root cause analysis for Stars data, verifying data at the member level
• Communicates results of programs
• Provides consolidated budget tracking for Stars and Follow-Up team to enable coordination with Finance, validating vendor invoicing and data files

Requirements

• 5+ years' experience in Stars and HEDIS
• 3+ years vendor or project management experience
• Advanced skills using Microsoft Excel, Power BI, and SQL
• Experience working independently with multiple stakeholders from across the organization
• Understanding of metrics, trends, and the ability to identify gaps in care
• Ability to work under tight deadlines, multitask, and deliver quality work under pressure
• Discretion and exceptional judgement

Preferred Qualifications

• Bachelor's degree
• Knowledge of AI, HIE, in-home programs

Benefits

Humana offers competitive benefits that support whole-person well-being. Benefits include medical, dental, and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance, and many other opportunities.

Pay

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.