Program Delivery Lead - Part D Risk Adjustment
Program Delivery Lead - Part D Risk Adjustment
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$ 115200 - 158400
1 Vacancy
Job Description
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 Risk Adjustment Organization seeks a Program Delivery Lead for Part D Risk Adjustment. This role will partner with leaders to improve existing programs and develop next-generation initiatives to ensure Part D risk score documentation is timely complete and accurate while promoting appropriate follow-up care for members. The successful candidate will collaborate with operational leaders and key enterprise partners to develop and execute go-to-market strategies prioritize and coordinate cross-functional efforts and establish frameworks for effective project oversight. This position requires strong leadership proactive collaboration a strong bias for action decisiveness project and process management skills strategic planning as well as an innovative mindset.
Key Responsibilities
Facilitate the continuous improvement of Part D risk adjustment programs and the development of new initiatives
Collaborate with risk adjustment pharmacy and enterprise leaders to develop and implement go-to-market strategies
Coordinate dependencies and manage inter-related efforts across multiple teams
Establish and maintain structures for prioritizing monitoring reporting and evaluating Part D-focused initiatives pilots and projects
Foster situational awareness and effective communication among stakeholders
Support member and provider engagement in alignment with organizational goals
Use your skills to make an impact
Role Essentials
Bachelors degree
8 or more years of project management program management and/or operations experience
2 years of project leadership experience
Demonstrated ability to collaborate effectively with cross-functional teams
Proven self-starter able to work independently and communicate across all organizational levels
Strong relationship-building skills
Proficiency in Microsoft tools (e.g. Teams SharePoint PowerPoint Word Excel) with a track record of creating impactful presentations and reports
Strong understanding of the Medicare Advantage program
Role Desirables
Masters degree in business administration or a related field
PMP certification
Knowledge of interoperability assets vendor management and member and provider engagement
Knowledge of pharmacy benefit delivery
Strong analytical skills
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 with instructions on how to add the information into your official application on Humanas secure website.
Scheduled Weekly Hours
40Pay 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.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 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.
Employment Type
Full-Time
