Humana
Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
10,000+ employees
Founded 1961
⚕️ Healthcare Insurance
Principal, Stars Enterprise Activation – Insurance Operations
Job not on LinkedIn
November 19
Humana
Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
10,000+ employees
Founded 1961
⚕️ Healthcare Insurance
📋 Description
• Coordinate, implement, and manage oversight of the company’s Medicare/Medicaid Stars Program • Serve as the primary liaison for Stars initiatives within Insurance Operations • Collaborate with each Insurance Operations function to align Stars-related business strategies and objectives • Evaluate business processes to identify synergies and operational risks related to Stars performance and compliance • Maintain a comprehensive inventory of Stars initiatives and identify gaps for collaboration • Lead the design, implementation, and optimization of Stars-related programs and processes • Develop and deliver regular reports on Stars operational performance to executive leadership
🎯 Requirements
• Bachelor’s degree • 8-9+ years of quality improvement, developing & advancing enterprise strategy, insurance operations experience (e.g., claims, UM, CM, call center, enrollment) • 5 years or more of CMS Stars program experience • Medicare Advantage experience • Previous leadership experience as a people leader, leading through influence, or leading complex projects • Strong executive presence • Comprehensive knowledge of Microsoft Office applications (Word, Excel, PowerPoint) • Ability to navigate business intelligence tools to review data insights and make data-driven decisions
🏖️ Benefits
• Medical, dental, and vision benefits • 401(k) retirement savings plan • Paid time off, including personal holidays and volunteer time off • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Additional opportunities for personal wellness and smart healthcare decisions
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