"Alerted.org

Become a part of our caring community and help us put health first

The Program Delivery Lead strategically identifies, develops, implements and operates test kit programs that support HEDIS measures and drive overall Stars performance. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

**Location:** remote (If in driving distance to Louisville office, role will be hybrid which is a combination of in office and work at home)

Apply in-depth and broad knowledge of HEDIS measures, process management skills and operational expertise to develop strategy and implement comprehensive business and technical solutions to drive overall Stars performance.

+ Accountability for development, implementation, performance and operational excellence of comprehensive test kit programs that improve Star ratings

+ Proactively engage with measure owners, Marketing and other stakeholders to ensure alignment between HEDIS/Star measure strategy and test kit strategy

+ Partner with test kit vendors, Humana business partners and technical teams to develop, prioritize, deliver, and monitor test kit solutions

+ Provide test kit-related consultation for all aspects of Humana’s business – CenterWell, ACO Reach, external consultants, etc.

+ Manage day-to-day operations and vendor management responsibilities

Provide insights, identify opportunities for improvement and propose technical enhancements through process management and data analysis

+ Manage and enhance test kit tools and processes to provide transparency and functionality to test kit stakeholders

+ Cross-collaboration with business and technical teams to define and deliver key recommendations to achieve Stars goals

+ Coordinate implementation of new vendor-delivered functionality and monitor ongoing quality of existing processes

Set strategic direction and manage day-to-day operations of all aspects of the test kit program

+ Define test kit program/population requirements and provide guidance for all aspects of campaign and technical program build

+ Partner with Humana and vendor Marketing teams to create impactful test kit communications for all delivery channels

+ Manage third-party relationship management and compliance duties for test kit vendors

+ Develop test kit education materials for internal and external use

+ Research and resolve test kit-related issues and complaints

+ Manage budget and invoice validation for test kit vendors

Support key functions with strategic and analytical thinking

+ Requires a general understanding of Stars operations and ability to effectively communicate the Stars story

+ Knowledge of the technical specifications and codes within attributed value sets

+ Detail oriented with focus on data quality and technical connections

+ Use problem solving skills to resolve issues and make decisions in a fast pace, complex, ever-changing environment

+ Understand campaign development to provide feedback for existing programs, insights for new concepts and data quality monitoring for test kit orders

+ Inform measure strategy by providing historical context and outcomes from prior year programs

This role requires up to 10% travel

Use your skills to make an impact

Required Qualifications

+ Bachelor’s Degree or equivalent work experience

+ 8+ years of operations, program management and/or vendor management experience

+ Medicare Stars and/or HEDIS experience

+ Experience leading special projects and producing metrics, measurements and reports

+ Understanding data to solve problems

+ Proficiency in interpreting data trends and applying to operations

+ Demonstrated ability to articulate ideas effectively in both written and oral forms

+ Comfortable working independently to accomplish components of a larger program

+ Strong organizational and time management skills

Preferred Qualifications

+ Master’s degree

+ HEDIS knowledge or experience

Additional Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

40

Pay Range

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.

$115,200 - $158,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

​

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.