STARS Strategy Advancement Lead

Há 2 dias


Itajaí, Brasil Humana Tempo inteiro

Overview

Become a part of our caring community and help us put health first

As a company whose primary focus is on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond that of a provider to that of a well-being partner who will empower customers to live a life that is healthy, active, and rewarding.

Humana is advancing a new Enterprise Stars Activation model to ensure Medicare Advantage Stars strategy is consistently embedded across all lines of business. To support this effort, we are seeking an accomplished professional to serve as a STARS Strategy Advancement Lead reporting to the leader of Stars Enterprise Activation. This critical role will serve as a formal and informal adviser to improve the effectiveness of the STARS Activation function’s leaders, as well as leaders throughout the organization, 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 laser focus on STARS to drive meaningful change and maintain accountability for key items, driving 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 directly 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 a team representative where needed, identifying opportunities and drive follow-up as needed
  • Act as a first point of contact keeping the senior leaders aware of unanticipated problems or opportunities with identified 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 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.

Use your skills to make an impact

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 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.

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 you.

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 with instructions on how to add the information into your official application on Humana’s secure website.

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline:

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.

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