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About Humana Care Management: Are you passionate about improving the health outcomes for the Special Needs population? If so, becoming a part of Humana's Care Management Team and the Clinical Outcome Team may be a fit for you! Our Care Management team is a mission driven organization that supports Humana members by identifying and addressing member care needs, with the goal of positively impacting members and caregivers quality of life.
The Humana Care Management Clinical Outcomes team within Humana's Home Solutions organization is focused on improving clinical outcomes and delivering on business priorities for care management programs. Our team employs a rigorous process to set specific business priorities, identify the greatest sources of value, and lead a multi-disciplinary process to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience.
The Strategy & Operations Lead provides data-backed strategic direction to identify and address business opportunities to improve care for Medicare and Special Needs Population (SNP) that benefits from Humana's Care Management services. Specifically, you will be identifying and operationalizing new innovations that could improve the effectiveness, efficiency, or the member experience of our care management service. In your role, you will solve diverse and complex problems by bringing your own contributions together with other key stakeholders from across the enterprise (e.g. clinical, quality, operations, analytics). You will work with operational owners to translate strategic recommendations into execution plans for implementation.
In this @context, the Strategy & Operations Lead will drive initiatives to analyze complex problems and issues related to care management using data and insight from internal and external sources.
The Strategy & Operations Lead will:
Engage in ambiguous problem solving and strategy setting
Use data and insight from experts to identify the greatest opportunities in clinical outcomes, quality, cost, and experience for members in care management programs
Lead cross-functional teams to define discrete opportunities that are both impactful and achievable
Work directly with cross-functional partners across the enterprise to create the execution model and roadmap to capture prioritized opportunities
Use your skills to make an impact
Role Essentials
Bachelor's degree
7 plus years of experience in strategy, healthcare, operations OR with 4 plus years of experience with a consulting firm or corporate strategy in driving and creating strategy and/or operations experience
Previous experience in strategy consulting, commercial, business strategy, clinical and operational area and/or related roles
Ability to interpret and leverage data and analytics to improve strategy and make recommendations; ability to complete analysis and modeling of data to drive insights and recommendations for strategy advancement
Experience with qualitative and qualitative analysis
Demonstrated ability to articulate ideas effectively in both written and oral forms with ability to flex to different audiences, including senior leadership
Proven skills influencing others and a track record of success leading through ambiguity
Proven organization, planning and prioritization skills to collaborate with multiple enterprise departments and stakeholders; ability to execute within deadlines
Ability to work independently to manage projects to achieve objectives
Competency with Microsoft Office suite (PowerPoint, Excel)
Role Desirables
Exposure or experience with clinical care delivery and interventions and/or care management
Direct people leadership experience
Health care industry
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 recommended; 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 your schedule.
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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 08-21-2026
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.
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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.
