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VP, Foundational Capabilities
Location
Kentucky
Posted
152 days ago
Salary
0
Seniority
Lead
Job Description
VP, Foundational Capabilities
Humana
• Lead strategic initiatives to transform and advance Stars back to industry leading • Monitor and analyze industry trends, CMS updates, competitor activity, and market dynamics that impact the Medicare Stars landscape • Develop and communicate insights to inform organizational strategy and ensure proactive responses to changes in the regulatory and competitive environment • Ensure top executives are well informed and have the right information on competitive intelligence to make decisions • Oversee strategy and integration of digital tools, automation, and artificial intelligence to enhance operational efficiency • Evaluate, select, and implement innovative technology solutions that streamline Stars data capture, analytics and operational impact • Partner with IT, Digital and Experience teams to ensure emerging opportunities are integrated • Develop engagement models to enhance provider connectivity • Design educational programs and resources that equip providers and members with actionable data • Establish feedback mechanisms to gather input and continuously improve partnership effectiveness • Serve as the primary liaison between internal teams, external partners, vendors, and regulatory agencies for Stars initiatives • Lead cross-functional workgroups to align priorities, share knowledge, and ensure accountability in delivering on Stars objectives • Manage long term strategic planning with strategic partners
Job Requirements
- Bachelor’s Degree in Business Administration, Health Administration or a related field
- Progressive experience in the health solutions industry, with emphasis on leading and managing teams
- Prior Medicare/Medicaid experience
- Knowledge of HEDIS/Stars and CMS quality measures
- Prior managed care experience
- Proficiency in analyzing and interpreting healthcare data and trends
- Strong attention to detail and focus on process and quality
- Excellent communication skills
- Ability to operate under tight deadlines
- Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
- Master’s degree in business administration, Health Administration or a related field (preferred)
- 5 or more years of Stars experience (preferred)
- Proven organizational and prioritization skills and ability to collaborate with multiple departments (preferred)
- PMP certification a plus (preferred)
- Six Sigma Certification also a plus (preferred)
- Experience with AI and emerging Digital/Technology solutions (preferred)
Benefits
- Competitive Intelligence
- Stars Technology Advancement
- Provider and Member Engagement
- Partner Coordination
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