**Become a part of our caring community and help us put health first**
The Principal, Stars Contract Growth Strategy develops, implements, and manages oversight of the company's growth strategy and its impact to the Stars Program. The Stars Improvement Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.
HQRI is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana. HQRI Health Quality and Stars (HQS) is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS).
The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations.
The Principal, Stars Contract Growth Strategy, will lead the development and acceleration of a comprehensive Medicare Advantage (MA) contract offering and membership growth strategy that will sustain Humana as an industry leader in Stars performance and new member acquisition. This highly visible position will lead a cross-functional workgroup in defining and prioritizing a strategic plan for Humana's current and future products. This leader has a passion for delivering quality in healthcare and an in-depth understanding of how enterprise functions interrelate, serving as an advanced subject matter expert. This leader is able to partner with and influence leaders throughout the company on this complex work in order to create shared accountability for strategic advancement and Stars performance.
**Role responsibilities:**
+ Develop, own and manage the Stars enterprise contract growth strategy and effectively communicate the strategy across the enterprise to create alignment, inspire action and deliver tangible results
+ Lead and influence key enterprise stakeholders, including Market Leadership, Product Compliance, and Benefit Design to consensus on contract strategy and which growth mechanisms to use in order to optimize Stars performance for each contract
+ Analyze and understand performance and trends of geographies, contracts and sub populations of membership, and educate market leadership on these insights to influence them as they consider desired business growth, including Group membership needs
+ Recommend and influence new contracts and consolidations that may be appropriate for Product Compliance to pursue in anticipation of future needs as part of the strategy
+ Analyze market-driven growth mechanisms for Stars impact and make recommendations based on the defined contract growth Strategy
+ Conduct market research to stay informed about the evolving Medicare landscape, market trends, and competitor strategies to inform contract growth initiatives
+ Establish key performance indicators to track the success of growth strategies, making data-driven adjustments as needed
+ Please note if selected candidate is local to Louisville the requirement is to be in the office a few days a week.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree in Healthcare Administration, Business Administration or any field or equivalent experience
+ 10 or more years of experience in healthcare strategy, contract management, and/or market finance roles
+ 2 or more years of proven experience of cross functional leadership
+ Deep understanding of Medicare regulations, reimbursement methodologies, and industry trends
+ Strong analytical and data interpretation skills with the ability to translate data into actionable strategies
+ Exceptional communication, presentation, and negotiation skills
+ Demonstrated track record of ability to tell the story, influence leaders and drive improvement activity in a matrixed organization
+ Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint, as well as ability to navigate business intelligence tools to review data insights
**Preferred Qualifications**
+ Master's degree
+ Medicare Stars experience or HEDIS experience
+ Strategic Consulting Background
**Additional Information**
Humana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**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.
$138,900 - $191,000 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.
Application Deadline:
**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 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
The Principal, Stars Contract Growth Strategy develops, implements, and manages oversight of the company's growth strategy and its impact to the Stars Program. The Stars Improvement Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.
HQRI is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana. HQRI Health Quality and Stars (HQS) is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS).
The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations.
The Principal, Stars Contract Growth Strategy, will lead the development and acceleration of a comprehensive Medicare Advantage (MA) contract offering and membership growth strategy that will sustain Humana as an industry leader in Stars performance and new member acquisition. This highly visible position will lead a cross-functional workgroup in defining and prioritizing a strategic plan for Humana's current and future products. This leader has a passion for delivering quality in healthcare and an in-depth understanding of how enterprise functions interrelate, serving as an advanced subject matter expert. This leader is able to partner with and influence leaders throughout the company on this complex work in order to create shared accountability for strategic advancement and Stars performance.
**Role responsibilities:**
+ Develop, own and manage the Stars enterprise contract growth strategy and effectively communicate the strategy across the enterprise to create alignment, inspire action and deliver tangible results
+ Lead and influence key enterprise stakeholders, including Market Leadership, Product Compliance, and Benefit Design to consensus on contract strategy and which growth mechanisms to use in order to optimize Stars performance for each contract
+ Analyze and understand performance and trends of geographies, contracts and sub populations of membership, and educate market leadership on these insights to influence them as they consider desired business growth, including Group membership needs
+ Recommend and influence new contracts and consolidations that may be appropriate for Product Compliance to pursue in anticipation of future needs as part of the strategy
+ Analyze market-driven growth mechanisms for Stars impact and make recommendations based on the defined contract growth Strategy
+ Conduct market research to stay informed about the evolving Medicare landscape, market trends, and competitor strategies to inform contract growth initiatives
+ Establish key performance indicators to track the success of growth strategies, making data-driven adjustments as needed
+ Please note if selected candidate is local to Louisville the requirement is to be in the office a few days a week.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree in Healthcare Administration, Business Administration or any field or equivalent experience
+ 10 or more years of experience in healthcare strategy, contract management, and/or market finance roles
+ 2 or more years of proven experience of cross functional leadership
+ Deep understanding of Medicare regulations, reimbursement methodologies, and industry trends
+ Strong analytical and data interpretation skills with the ability to translate data into actionable strategies
+ Exceptional communication, presentation, and negotiation skills
+ Demonstrated track record of ability to tell the story, influence leaders and drive improvement activity in a matrixed organization
+ Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint, as well as ability to navigate business intelligence tools to review data insights
**Preferred Qualifications**
+ Master's degree
+ Medicare Stars experience or HEDIS experience
+ Strategic Consulting Background
**Additional Information**
Humana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**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.
$138,900 - $191,000 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.
Application Deadline:
**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 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