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Humana Director, Strategy & Ops for Humana at Home (SNP) in Boston, Massachusetts


Director of Strategy & Ops Advancement, Humana at Home plays an important role within Special Needs Plans (SNP) care management at Humana at Home (HAH) to define, land and execute on our key strategic priorities and drive clinical outcomes. You are driven by impact and the opportunity to help Humana's members to achieve better health outcomes. You are passionate about using your strong strategic and analytical acumen to identify the highest priority initiatives to create and demonstrate HAH care management value, and partnering with key HAH and enterprise partners (e.g., Pharmacy and Stars Teams, Provider Partnerships) to drive exceptional operational execution of our key objectives. You are curious - you enjoy connecting the dots between business metrics and our frontline, understanding key root causes for what we see in reporting, testing hypotheses for what we could improve to drive value, and transforming ideas into action.



Strategy and scoping:

  • Assess and prioritize highest impact initiatives to drive clinical outcomes based on clinical relevance, opportunity to impact with care management, and scale potential

  • Translate strategic initiatives into operational roadmaps, including key changes to process flows, IT requirements, reporting requirements, and resourcing requirements

  • Solicit enterprise alignment on key strategic decisions through executive-level presentations and discussion facilitation

Initiative planning and implementation:

  • Develop plans and operationalize key initiatives through collaboration with key HAH and enterprise partners / stakeholders (e.g., technology, learning, operational teams); consider implications upstream / downstream, impacts to member and associate experience, interdependencies with intersecting projects

  • Serve as SME / point person for initiatives; partner effectively with other enterprise stakeholders to provide perspective on impact to business, operations, process

  • Hold accountability for end-to-end of project implementation and meeting key objectives

Analytic and operational improvements:

  • Determine key metric and KPI requirements to track and measure success; monitor and share progress to goals, uncover key root causes and corresponding recommendations to address, and synthesize key learnings for future projects

  • Develop learning agendas and partner with analytical functions to rigorously study effectiveness of care management programs, and leverage data and insight to continuously improve program outcomes

  • Determine key implications from analytic insight and translate into compelling 'stories' and presentations to key stakeholders

  • Analyze data to identify operational issues and communicate timely

Required Qualifications

  • Bachelor's degree or higher

  • 2-4 years in management consulting and 1-3 years at the level of Manager, Engagement Manager, Case Team lead or Project Leader of equivalent.

  • Team leadership experience as a people leader

  • Proven organization, planning and prioritization skills to collaborate with multiple internal stakeholders concurrently (and potential also vendor partners); ability to operate on deadlines

  • Demonstrated analytic acumen, ability to leverage data to drive decision making and improve outcomes

  • Strong strategic acumen with focus on continuously improving outcomes and customer experience

  • Excellent communication skills and presentation skills

  • Comprehensive knowledge of all Microsoft Office applications including Excel, PowerPoint, Word

Preferred Qualifications

  • MBA or MD

  • Prior experience in healthcare industry and project leadership

  • Deep understanding of Care Management Process

  • Deep understanding of Humana teams and enterprise interconnectedness

Additional Information

COVID vaccination policy

  • We will require full COVID vaccination ( for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

  • If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.

Scheduled Weekly Hours