Humana

Director, Strategy Advancement - Provider Process & Network & Network Operations (PPNO)

Remote US
USD 168k - 231k
This job is closed! Check out or
Description

Become a part of our caring community and help us put health first
 

Humana is a dynamic and innovating organization that is transforming Healthcare. We are on a hunt for an exceptional leader that will drive strategy and optimization for Provider Process and Network Operations (PPNO). As the Director of Strategy Advancement, this leader won’t just be leading a team, but also building the strategy and refining the way we work across the organization. We are looking for a leader who can help us build the future state of how we support providers and make it easier for associates to do their job. This is an opportunity to truly help us transform the way we solve problems and to help us build the future of the provider experience across the PPNO lifecycle.

The Director, Strategy Advancement will be responsible for three major buckets: strategy – liaison between (PPNO) & Markets, project management, and optimization.  The Director will serve as strategist, Consultant, and Implementer for the senior leadership team, as well as drive efforts in support of organization and teaming effectiveness across PPNO touchpoints. This role will take point on all strategy and interventions that connect to markets (Medicare and Medicaid).  This involves developing executive level decks and the ability to deliver/present to the top levels of leadership for the Insurance Segment. 

This role will also ensure streamlined activities across the Enterprise and within the PPNO organization based on PPNO priorities.  You will be a liaison and represent PPNO vision and outcomes to Medicare/Medicaid.  This role will lead the project management team that supports enterprise-wide initiatives as well as inside PPNO. You will contribute to the effective business cadence and continuous optimization of routines, in pursuit of leanness, agility and impact. 

This role will be responsible for being the face and speaking to PPNO high visibility projects and topics with Market Leaders. This role will be responsible for deck creation and delivery of content on calls for the PPNO organization and aligned partner calls.

In this role you will:

  • Develop PPNO strategies in support of large initiatives (technical and non-technical) to ensure upstream and downstream alignment with Markets

  • Represent the entire PPNO leadership team on larger implementations with partner groups that impact upstream and downstream with markets.

  • Strategy on prioritization of projects for the PPNO organization

  • Make decisions on impact and interaction model and how they influence upstream and downstream with the markets

  • Advancement for Medicare Markets – ensuring market and PPNO vision/strategy are aligned with end goals that support end to end process

  • Provides strategic direction and leadership to multiple teams across the program to ensure solutions meet the needs of multiple businesses and associated customers and aligns with company’s goal

  • Act as a strong advocate of our new ways of working helping the organization adapt from a change management perspective 

  • Play a critical role in influencing senior leadership on the future-state

  • Make decisions and set agenda for delivering on outcomes, and articulate barriers and challenges and create strategic scenarios for analysis and discussion.

  • Contribute to the effective business cadence and continuous optimization of routines, in pursuit of leanness, agility and impact.

  • Provide meeting preparation, follow up and support to Senior Leaders for Market Meetings, Town Halls, and internal/external customer meetings and any other significant events.


Use your skills to make an impact
 

Role Essentials

  • Bachelor's Degree

  • 8 to 10 years or more of corporate, business, and/or organizational influence & change management experience

  • 5 or more years of leadership experience with multi-disciplinary teams of high performing subject matter expert talent

  • 5 or more years’ experience leading large-scale change efforts across multiple functions or business units.

  • 5 or more years leading Complex program and project management initiatives with ability to synthesize inputs across multiple disciplines and ensure a quality output

  • Demonstrated ability to articulate ideas effectively in both written and oral forms

  • Ability to influence and drive change across large, matrix organization

  • Experience connecting across the segment and enterprise to leverage and maximize Humana’s strengths and capabilities to improve the experience

  • Strong strategic thinking and problem-solving skills, with the ability to balance short term needs with long-term goals.

  • Excellent communication and negotiation skills, capable of interacting with both technical and non-technical stakeholders

Role Desirables

  • Master’s degree

  • Six Sigma

  • Agile

Additional 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.

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 required; 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.

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.


 

$168,000 - $231,000 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: 05-05-2025


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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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
Humana
Health Care Health Insurance Insurance Venture Capital

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