Program Delivery Governance Lead – Stars Enablement

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $115.2k - $158.4k / year

⏰ Full Time

🟠 Senior

🎲 Risk

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Own and enhance the governance process for the Stars organization • Design, implement, and maintain governance structures and forums to improve Stars and quality metrics • Coordinate with finance partners to organize Stars OpEx and Admin budgets • Lead governance meetings, facilitate decision-making, and document and communicate outcomes • Review, analyze, and report program and governance results, providing actionable stakeholder insights • Advise executives and senior leadership on governance matters and functional and segment-specific strategies • Implement and monitor governance process changes for continuous improvement • Exercise independent judgment on complex issues with minimal supervision • Collaborate across business units to promote alignment, share best practices, and drive accountability • Monitor industry trends, regulatory requirements, and governance and Stars program-management best practices • Identify key decision points, escalate appropriately, and ensure appropriate leadership participation • Adapt agendas and audiences as needed in a fast-paced environment • Manage multiple initiatives and hold DRI’s accountable for action-item follow-through • Interface regularly with executives, leadership, and stakeholders at all levels

🎯 Requirements

• Bachelor's degree • 7 or more years of experience in program delivery, governance, project management, audit, Stars and/or quality • Comfort working with budgets and financial resources • Experience leading cross-functional teams, managing complex projects, and driving organizational change • Strong analytical, problem-solving, and decision-making skills • Ability to articulate ideas effectively in written and oral forms • Experience presenting to large groups and engaging senior stakeholders • Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider (preferred) • PMP or CAPM Certification (preferred) • Lean or Six Sigma certification (preferred) • Minimum 25 Mbps download and 10 Mbps upload internet service for home employees • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Internet expense payment for employees who live and work from home in California, Illinois, Montana, or South Dakota • Telephone equipment appropriate to business requirements • HireVue interview technology for scheduling flexibility