Senior Program Delivery Professional

Become a part of our caring community The Senior Program Delivery Professional manages and executes on all Stars, Clinical, and Pharmacy projects for the In-home Health and Well-being Assessment Team. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Program Delivery Professional executes on projects designed to improve clinical quality tied to the in-home assessment program: Continues to deliver existing Stars programs included in IHWA program Partners directly with Stars, Clinical, and Pharmacy partners to identify and prioritize opportunities to incorporate additional clinical value Monitor and lead oversight of all in-home visit data collection, ensuring real-time visibility and compliance with policies and Stars requirements Oversee operational performance dashboards, proactively identifying issues and coordinating resolution and improvement opportunities Leads incident response and root cause analysis for Stars data, verifying data at the member level Review and communicate results of programs Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction Provide consolidated budget tracking for Stars and Follow-Up team to enable coordination with Finance, validating vendor invoicing and data files You will report to the Director, Program Delivery Use your skills to make an impact Required Qualifications 5+ years' experience in Stars and HEDIS 3+ years vendor or project management experience Advanced skills using Microsoft Excel, Power BI, and SQL Experience working independently with multiple stakeholders from across the organization Understanding of metrics, trends, and the ability to identify gaps in care Ability to work under tight deadlines, multitask, and deliver quality work under pressure Ability to use discretion and possess exceptional judgement Preferred Qualifications Bachelor's degree Knowledge of AI, HIE, in-home programs Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates 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 associates 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 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. $86,300 - $118,700 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our #J-18808-Ljbffr Humana Inc