Stars Program Delivery Lead

Humana

1d • $115,200 - $158,400 • Remote

About The Position

The Stars Population Health Strategy Lead is responsible for developing strategies and executing initiatives to improve health outcomes for defined populations. This role will design evidence-based programs, coordinate care management, and collaborate with internal and external stakeholders to address health disparities, optimize resource utilization, and advance quality initiatives. A broad range of skills including strategic thinking, data interpretation, and program management will be required.
Health Quality and Stars (HQS) is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through quality solutions. HQS is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS).
The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations.
The Stars Population Health Strategy Lead is responsible for developing strategies and executing initiatives to improve health outcomes for defined populations. This role will design evidence-based programs, coordinate care management, and collaborate with internal and external stakeholders to address health disparities, optimize resource utilization, and advance quality initiatives.

Requirements

• 8+ years of strategy development and implementation
• Proficiency in evaluating complex data, using that data to tell a story, and presenting it clearly
• Ability to interpret and leverage data and analytics to improve strategy and make recommendations
• Experience in strategy consulting, business strategy, clinical and/or operations areas
• Strong presentation skills
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Effective facilitator and influencer

Nice To Haves

• Master's Degree in Public Health, Business Administration or a related field
• Knowledge and experience in health care environment/managed care and/or Medicare Stars
• Agile or product management certification a plus
• Strong analytics background

Responsibilities

• Design and implement population health initiatives that address health risks, disparities, and gaps in care
• Analyze data and population metrics to identify trends and opportunities for improvement
• Measure the effectiveness of programs and adjust strategy as needed to achieve targeted outcomes
• Build and maximize relationships with key stakeholders in member- and provider-facing roles in order to improve our performance among the target populations
• Responsible for initiative performance monitoring and development of deep, holistic operational reporting, with regular executive summary roll-up to Stars leadership

Benefits

• medical
• dental
• 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

What This Job Offers

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