The Eastern Kentucky Job Board

Jobs Available for Eastern Kentuckians
SOAR Kentucky
SOAR Kentucky

Provider Programs Strategy Lead



Louisville, KY, USA
Posted on Friday, May 17, 2024

Become a part of our caring community and help us put health first

The Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

The Program Delivery Lead develops programs designed to drive value-based relationships. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. 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.

Provider prospective programs are a key driver of PCP engagement with Humana’s MRA program. The lead role’s primary responsibility will be working with various internal stakeholders to develop and execute a vision for transforming Humana’s current provider prospective programs in order to maintain our industry leading position, fully leverage emerging interoperability assets and meet the challenges presented by ongoing regulatory changes. In addition, the role will serve as owner of additional strategic areas of focus and advise on continued efforts to manage program spend while growing revenue.

This is a high profile role requiring a strategic and innovative mindset. The successful candidate will need to demonstrate the following attributes:

· Strong understanding of the Medicare Advantage payment model and value based care

· Thought leader able to facilitate the creation of a long term strategy (5 year) and actionable road map to execute strategy

· Ability to be forward thinking while not losing site of immediate priorities

· Experience creating and delivering executive level presentations

· Ability to analyze complex business problems using qualitative and quantitative inputs

· Strong collaboration and interpersonal skills to influence and facilitate adoption of new strategies and tactics

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree
  • Knowledge and experience in managed care​
  • 8 or more years of technical experience
  • 2 or more years of project leadership experience
  • Ability to establish and develop strong partnerships and connections with key stakeholders across multiple functional areas
  • Proven expertise in problem resolution, including strong data and analytics skills to enable common linkages to be identified and connected
  • Experience navigating in a large company with a complex and heavily matrixed organizational structure
  • Strong knowledge of Microsoft Excel and PowerPoint
  • Excellent communication skills, both oral and written
  • Strong relationship building skills
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Strong analytical skills

Preferred Qualifications

  • Master's Degree in Business Administration or a related field
  • Management consulting experience
  • Consulting experience
  • Six Sigma Certification also a plus

Additional Information

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 recommended; 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

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours


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.

$112,400 - $154,900 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.