Humana Inc
Overview
Become a part of our caring community and help us put health first Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role is to be a well-being partner who empowers customers to live a healthy, active, and rewarding life. We are advancing a new Enterprise Stars Activation model to embed Medicare Advantage Stars strategy across all lines of business. We are seeking an accomplished professional to serve as a STARS Strategy Advancement Lead reporting to the leader of Stars Enterprise Activation. This role will advise on the effectiveness of the STARS Activation function’s leaders and help leaders carry out the organization’s vision and strategic intent at all levels. The focus of this role is to coordinate across functions with a laser focus on STARS to drive meaningful change, maintain accountability for key items, drive program governance, initiative tracking, and execution discipline for enterprise Stars initiatives. The STARS Strategy Advancement Lead will coordinate cross-functional workstreams, ensure accountability to timelines and deliverables, and provide visibility into risks, dependencies, and outcomes that impact Stars performance. Key Responsibilities
Program & Project Leadership Manage day-to-day execution of Stars enterprise activation initiatives under the guidance of the AVP Build and maintain project plans, timelines, and deliverables across multiple workstreams Track progress against Stars performance goals, KPIs, and OKRs; escalate risks and barriers proactively Maintain program documentation (charters, roadmaps, issue logs, risk registers, dependency trackers) Serve as a team representative where needed, identifying opportunities and drive follow-up as needed Act as a first point of contact keeping senior leaders aware of unanticipated problems or opportunities with initiatives, and a proxy for the leadership team in resolving issues Governance & Coordination Drive conversation and collaboration across Insurance, CenterWell, and enterprise partners to ensure alignment; articulate priorities; define and track metrics; build and maintain defined processes to refresh and pivot the strategic plan as needed Support enterprise Stars governance forums, including steering committees and cross-functional workgroups Prepare agendas, track action items, and ensure follow-up across stakeholders Coordinate work between analytics, clinical operations, provider engagement, pharmacy, IT, and compliance Ensure alignment of business requirements and technical solutions Communication & Reporting Coordinate with partner teams to maintain dashboards and status reports to provide visibility into progress, risks, and dependencies Develop executive-level presentations and updates for AVP, VP, and senior leadership Ensure consistency of messaging and transparency across all project communications Change Management & Adoption Partner with business leaders to embed new Stars processes into day-to-day operations Drive adoption of standardized workflows, reporting, and performance improvement routines Support training and change management activities to scale enterprise Stars activation Serve as an ambassador across the enterprise to articulate the value of STARS, ensuring the support and buy-in of key stakeholders Systematically cultivate, nurture, and maintain a long-term, broad network of collaborative relationships with key stakeholders (internal and external) to benefit Humana Required Qualifications
Bachelor's degree in business, Healthcare Administration, related field, or any field 7 years of experience in project management or program management in healthcare or a related field CMS Stars experience Demonstrated ability to manage cross-functional projects with multiple stakeholders Strong organizational and facilitation skills with attention to detail Proficiency in project management tools (example but not required: Smartsheet, MS Project, Asana, Jira, etc.) Excellent written and verbal communication skills, with experience presenting to senior leaders Strong interpersonal skills and high emotional intelligence to drive consensus and solutions using a positive, outcomes-oriented approach Data driven, analytical mindset with strong critical thinking skills Exceptionally strong relationship building and management skills The polish, poise, and executive presence to ensure effective interaction with senior and executive level audiences Ability to balance divergent needs and priorities in a complex organizational structure Preferred Qualifications
MBA, MHA or other advanced degree Experience with Medicare Advantage and CMS Stars programs with HEDIS, CAHPS, HOS, Part D Knowledge of enterprise transformation, governance, and process improvement Familiarity with Lean, Six Sigma, or other project/quality improvement methodologies Exposure to data-driven reporting and analytics (Tableau, Power BI) Additional Information
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service must meet the following criteria: a download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees in California, Illinois, Montana, or South Dakota will receive a bi-weekly internet expense payment. Humana will provide home/office employees with appropriate telephone equipment. Work from a dedicated space free of interruptions to protect member PHI / HIPAA information. As part of our hiring process, we may use HireVue to enhance hiring and decision-making capabilities. Humana may request Social Security Number if not on file, via Humana’s secure site. Travel: occasional travel to Humana offices for training or meetings may be required. Scheduled Weekly Hours
40 Pay Range The compensation range is a good faith estimate of starting base pay for full-time employment; exact pay depends on location and qualifications. The range: $115,200 - $158,400 per year Description of Benefits Humana offers competitive benefits including medical, dental and vision coverage, 401(k), time off, disability, life insurance, and other opportunities. Application Deadline: 10-01-2025 About us
Humana Inc. (NYSE: HUM) is committed to putting health first for teammates, customers and the company. Through Humana insurance services and CenterWell healthcare services, we aim to help millions achieve their best health. Equal Opportunity Employer
Humana does not discriminate on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. We comply with applicable laws and provide free language interpreter services. See accessibility resources at Humana’s website.
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Become a part of our caring community and help us put health first Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role is to be a well-being partner who empowers customers to live a healthy, active, and rewarding life. We are advancing a new Enterprise Stars Activation model to embed Medicare Advantage Stars strategy across all lines of business. We are seeking an accomplished professional to serve as a STARS Strategy Advancement Lead reporting to the leader of Stars Enterprise Activation. This role will advise on the effectiveness of the STARS Activation function’s leaders and help leaders carry out the organization’s vision and strategic intent at all levels. The focus of this role is to coordinate across functions with a laser focus on STARS to drive meaningful change, maintain accountability for key items, drive program governance, initiative tracking, and execution discipline for enterprise Stars initiatives. The STARS Strategy Advancement Lead will coordinate cross-functional workstreams, ensure accountability to timelines and deliverables, and provide visibility into risks, dependencies, and outcomes that impact Stars performance. Key Responsibilities
Program & Project Leadership Manage day-to-day execution of Stars enterprise activation initiatives under the guidance of the AVP Build and maintain project plans, timelines, and deliverables across multiple workstreams Track progress against Stars performance goals, KPIs, and OKRs; escalate risks and barriers proactively Maintain program documentation (charters, roadmaps, issue logs, risk registers, dependency trackers) Serve as a team representative where needed, identifying opportunities and drive follow-up as needed Act as a first point of contact keeping senior leaders aware of unanticipated problems or opportunities with initiatives, and a proxy for the leadership team in resolving issues Governance & Coordination Drive conversation and collaboration across Insurance, CenterWell, and enterprise partners to ensure alignment; articulate priorities; define and track metrics; build and maintain defined processes to refresh and pivot the strategic plan as needed Support enterprise Stars governance forums, including steering committees and cross-functional workgroups Prepare agendas, track action items, and ensure follow-up across stakeholders Coordinate work between analytics, clinical operations, provider engagement, pharmacy, IT, and compliance Ensure alignment of business requirements and technical solutions Communication & Reporting Coordinate with partner teams to maintain dashboards and status reports to provide visibility into progress, risks, and dependencies Develop executive-level presentations and updates for AVP, VP, and senior leadership Ensure consistency of messaging and transparency across all project communications Change Management & Adoption Partner with business leaders to embed new Stars processes into day-to-day operations Drive adoption of standardized workflows, reporting, and performance improvement routines Support training and change management activities to scale enterprise Stars activation Serve as an ambassador across the enterprise to articulate the value of STARS, ensuring the support and buy-in of key stakeholders Systematically cultivate, nurture, and maintain a long-term, broad network of collaborative relationships with key stakeholders (internal and external) to benefit Humana Required Qualifications
Bachelor's degree in business, Healthcare Administration, related field, or any field 7 years of experience in project management or program management in healthcare or a related field CMS Stars experience Demonstrated ability to manage cross-functional projects with multiple stakeholders Strong organizational and facilitation skills with attention to detail Proficiency in project management tools (example but not required: Smartsheet, MS Project, Asana, Jira, etc.) Excellent written and verbal communication skills, with experience presenting to senior leaders Strong interpersonal skills and high emotional intelligence to drive consensus and solutions using a positive, outcomes-oriented approach Data driven, analytical mindset with strong critical thinking skills Exceptionally strong relationship building and management skills The polish, poise, and executive presence to ensure effective interaction with senior and executive level audiences Ability to balance divergent needs and priorities in a complex organizational structure Preferred Qualifications
MBA, MHA or other advanced degree Experience with Medicare Advantage and CMS Stars programs with HEDIS, CAHPS, HOS, Part D Knowledge of enterprise transformation, governance, and process improvement Familiarity with Lean, Six Sigma, or other project/quality improvement methodologies Exposure to data-driven reporting and analytics (Tableau, Power BI) Additional Information
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service must meet the following criteria: a download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees in California, Illinois, Montana, or South Dakota will receive a bi-weekly internet expense payment. Humana will provide home/office employees with appropriate telephone equipment. Work from a dedicated space free of interruptions to protect member PHI / HIPAA information. As part of our hiring process, we may use HireVue to enhance hiring and decision-making capabilities. Humana may request Social Security Number if not on file, via Humana’s secure site. Travel: occasional travel to Humana offices for training or meetings may be required. Scheduled Weekly Hours
40 Pay Range The compensation range is a good faith estimate of starting base pay for full-time employment; exact pay depends on location and qualifications. The range: $115,200 - $158,400 per year Description of Benefits Humana offers competitive benefits including medical, dental and vision coverage, 401(k), time off, disability, life insurance, and other opportunities. Application Deadline: 10-01-2025 About us
Humana Inc. (NYSE: HUM) is committed to putting health first for teammates, customers and the company. Through Humana insurance services and CenterWell healthcare services, we aim to help millions achieve their best health. Equal Opportunity Employer
Humana does not discriminate on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. We comply with applicable laws and provide free language interpreter services. See accessibility resources at Humana’s website.
#J-18808-Ljbffr