Enterprise Transformation Lead, Strategic Trend Partnerships

Humana

2d • Remote

About The Position

Become a part of our caring community and help us put health first The Strategic Trend Partnerships team collaborates across the enterprise to identify external solutions and then contract, implement, and manage ongoing partnerships. The Contracting and Financial Oversight team under Strategic Trend Partnerships will negotiate and work across several teams to finalize the contract. The specialty of the team is value-based contracting for specific disease states, and then on-going financial management with support from Healthcare Economics. The team’s focus is to deliver enterprise value through strategic partnerships that improve member outcomes and generate trend savings. Location: remote The Enterprise Transformation Lead will be the business owner for key strategic vendor programs. The Lead will be DRI of several key activities: Align on member scope, impactable claim spend, ideal contract structure; extract max value while ensuring partner is set up for success. In addition, the Lead will have an ongoing business relationship with key executives at outside companies, including CEO, CFO, and Chief Growth Officers. Portfolios including Population Health, Cardiology, Oncology, Behavioral Health, Post Acute, and Kidney.

Requirements

• 7 years of experience with performance management of external provider/vendors, operational, Medicare based health care management program management and/or and business consulting
• Minimum of 3 years contracting experience with provider/vendors
• Strong background in process improvement
• Strong business and financial acumen
• Ability to interact with and defend position with senior management
• Exceptional communication and interpersonal skills with the ability to quickly build rapport at all levels within the organization
• Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, and Teams

Nice To Haves

• Bachelor's Degree
• Experience with vendor management or program management
• Working knowledge of Humana's legal and compliance responsibilities
• Ability to navigate the Medicare regions and broader Insurance organization to implement and operate program

Responsibilities

• Leading Kick-off meeting with internal stakeholders and to gain buy-in.
• Create understanding of problem to be solved and how potential vendor can solve.
• Understanding historical performance of member population.
• Create financial terms that align with Humana expectations.
• Negotiate multi-year agreement, and collaborate with Value-based Strategies, Law Department, and Healthcare Economics.
• Navigate market pressures and any regulatory impact.
• Analyze monthly performance of claims and revenue and affirm monthly accruals to Finance.
• Active owner of overall relationship and anticipate potential disputes or need for amendments.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level