Innovation Portfolio Strategy Advisor – Pediatric Mental Health

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $115.2k - $158.4k / year

⏰ Full Time

🟠 Senior

🔴 Lead

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • 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.

📋 Description

• Drive the product lifecycle for assigned products within the Behavioral Health portfolio • Translate portfolio strategy into actual product delivery • Form cross-departmental colleague teams to support product delivery • Set prioritization, maintain alignment of effort, and own delivery • Advance Humana’s behavioral health network quality and access across Medicare Advantage and Medicaid lines of business • Develop and execute strategies to enhance provider performance, ensure true network access, and drive value-based initiatives • Establish and maintain real-time insights into general behavioral health network access and specialty access, including SUD, ASD, and Dementia • Develop, implement, and manage provider scorecards and tiering systems • Partner with network, network adequacy, and market leadership teams using network data and provider performance metrics • Launch and lead Pay-for-Performance projects for Medicare Advantage providers • Support and expand Pay-for-Performance programs within Medicaid • Manage Joint Operating Committees and relationships with large provider groups • Serve as contact for issue resolution, troubleshooting, and strategic partnership development

🎯 Requirements

• Bachelor’s degree in healthcare, business, or related field • 7+ years’ experience in network strategy, provider relations, or behavioral health management within a managed care setting • Experience in pediatric mental health • Skilled in developing strategic partnerships and engaging with internal and external stakeholders to support behavioral health initiatives • Strong analytical skills, with experience in provider performance measurement and network adequacy • Proven ability to work with multiple stakeholders, lead cross-functional teams and implement strategic initiatives • Demonstrated ability to articulate ideas effectively in both written and oral forms • Minimum internet speed of 25 Mbps download and 10 Mbps upload for Home or Hybrid Home/Office employees • Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Home or Hybrid Home/Office employees provided with telephone equipment appropriate to business requirements • Internet expense payment for employees who live and work from Home in California, Illinois, Montana, or South Dakota • Remote work arrangement • Occasional travel to Humana offices for training or meetings