Enterprise Transformation Lead Medicare Trend Programs

Profile

Description

The Trend Team manages the trend bender process for the Retail organization. This includes the management of the medical cost savings initiatives as an input for the Medicare Advantage bids as well as the coordination of the Medicare Trend Committee (MTC), Medicare Cost & Quality (MQC), and other related forums to drive the process. Also, this team provides direct management of several vended relationships for strategic programs and responsibility for the navigation of other strategic programs which impact Retail membership.

Responsibilities

The Enterprise Transformation Lead will be the business owner for key strategic vendor programs. As the business owner you will oversee all operational aspects, align to strategic initiatives and monitor all service level agreements in the contract. The Lead will deliver presentations and training courses including measurement, analysis, and improvement. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications

Bachelor's degree

Minimum of 2-5 years of experience in Medicare based health care management with proven results in operational leadership experience and/or business consulting

Strong business and financial acumen

Ability to interact with and defend position with senior management

Experience in multiple areas of business within corporate healthcare

Exceptional communication and interpersonal skills with the ability to quickly build rapport at all levels within the organization

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Teams and Visio

Additional Requirements

Workstyle: This position is considered remote work at home to support CDC recommendations to support social distancing during Covid, and will require a progression of in onsite/office once determine safe by Humana and Business needs.

Primary Location: Louisville Kentucky

Secondary Location: Anywhere in the United States

Hours: 8:00-5:00 PM local time and may require additional business hours or adjusted hours to accommodate meetings or business needs.

Travel: Anticipate 25% once CDC has determined it is safe to resume travel safely. **Please read the CDC recommendations in Additional Information below

Preferred Qualifications

Ability to navigate the Medicare regions and broader retail organization to implement and operate programs

Masters Level Degree in Business, Finance or Health Administration

Experience working with and/or developing PowerBi dashboards and other Office 365 applications

Experience with vendor management or program management

Additional Information

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include

Access to a personal computing device with a camera,

Minimum internet connection speed of 10m x 1m,

Dedicated secure home workspace for interview or work purposes.

Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. You may need a personal computing device with a camera and internet connection for interview purposes. This position will also be subject to restrictions for recent international travel. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

Remote Work at Home Requirement

Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work

Must have accessibility to hardwired high speed internet with minimum speeds of 10Mx1M for a home office (Wireless and Satellite are prohibited)

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com