Innovation Portfolio Strategy Advisor

Humana

1d • $115,200 - $158,400 • Remote

About The Position

The Innovation Portfolio Strategy Advisor reports to a Behavioral Health portfolio director and drives the product lifecycle for assigned products within that portfolio. You will accomplish the product strategy developed by the portfolio director by translating strategy into actual product delivery. The Portfolio Strategy Advisor works across departments to form colleague teams that can support overall delivery of a product, sets prioritization, maintains alignment of effort, and owns delivery. The Innovation Portfolio Strategy Advisor is responsible for advancing Humana's behavioral health network quality and access across both Medicare Advantage (MA) and Medicaid (MCD) LOBs. This position will focus on developing and executing strategies to enhance provider performance, ensure true network access, and drive value-based initiatives that improve care quality and member outcomes.

Requirements

• Bachelor’s degree in healthcare, business, or related field
• 5 +years’ experience in network strategy, provider relations, or behavioral health management within a managed care setting
• Skilled in developing strategic partnerships and engaging with internal and external stakeholders to support behavioral health initiatives
• Proven ability to work with multiple stakeholders, lead cross-functional teams and implement strategic initiatives
• Strong analytical skills, with experience in provider performance measurement and network adequacy
• Excellent interpersonal, negotiation, and communication skills

Nice To Haves

• Master’s degree
• Experience with value-based care and pay-for-performance models
• In-depth knowledge of behavioral health provider networks for both MA and MCD populations
• Ability to manage complex provider relationships and drive collaborative outcomes

Responsibilities

• Establish and maintain real-time insights into general behavioral health (BH) network access and BH specialty areas access—including Substance Use Disorder (SUD), Autism Spectrum Disorder (ASD), and Dementia—across both MA and MCD.
• Develop, implement, and manage provider scorecards and tiering systems to assess and differentiate provider performance and quality.
• Partner with MA and MCD network teams, MA network adequacy team, and market leadership teams to use network data and provider performance metrics for continuous improvement of network quality and efficiency.
• Launch and lead Pay-for-Performance (P4P) projects for MA providers. Support and expand ongoing P4P programs within MCD, driving provider engagement and improved member outcomes.
• Manage Joint Operating Committees (JOCs) and sustain ongoing relationships with large provider groups. You will be the contact for issue resolution, troubleshooting, and strategic partnership development.

Benefits

• medical
• dental
• 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

What This Job Offers

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