• High Risk Patient Management Program – Care and case management interdisciplinary offering for top 5% highest need patients 

• Transitions of Care Management, Longitudinal Care Management, and Condition Management Program – Post acute care management interdisciplinary offering for patients following an acute IP/Obs utilization event. Ongoing Care Management for high complexity patients to address clinical, behavioral, and social needs. Condition management supporting patients with unmanaged diabetes and hypertension.  

• New programming as advance Care Integration strategic plan 

Required Qualifications: 

• Bachelor’s degree  

• 5+ years progressively responsible professional experience in health-related product, IT, analytics, preferably in value-based care, particularly managed care or full risk models 

• 5+ years of cross-functional translation tooling experience (e.g., sitting between clinical leadership team and hands-on-keys product development team) 

• Experience in developing performance dashboards – specifically defining metric definitions, collaborating with analytics and tech teams to implement dashboards, and performing metric quality checks - and defining product feature specifications 

• The ability to clearly explain complex ideas, analytic insights and technologies to non-technical audiences 

• Experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment, within and outside of direct reporting lines 

• Excellent qualitative and quantitative analytic skills, with the ability to ask the right questions to identify the root causes of problems to be addressed 

• Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to optimize system-level processes 

• Excellent oral and written communications skills, including the polish, poise, and executive and authentic presence that will ensure effective interaction with leadership and front line / manager users of tools 

Preferred Qualifications 

• Master of Business Administration with three years experience post Master’s level training 

• Data, product, analytics and impact translator skills to effectively engage cross-functionally in assessing opportunity and feasibility of strategic initiatives 

• Experience working with design teams to optimize user experience for platforms and tools 

Characteristics of the qualified candidate: 

• A highly credible leader with deep understanding and empathy for the care team and patient pain points in day-to-day value-based operations 

• Excellence communication skills, including follow-through communication, executive presentations, and the ability to negotiate with horizontal and upward/downward vertical networks 

• Comfortable managing influence in the context of multiple operations, development, and deployment initiatives in a matrixed environment 

Additional Information  

• Remote role, 20% travel to various CenterWell & Conviva markets, on-sites

​ 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.