Humana, Inc.
Program Delivery Lead
The Villages, FL, USA · Senior · Full-time
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About the role
- Tandem Care is an in-house Collaborative Care model serving patients with behavioral health needs through an interdisciplinary team-based model that includes PCPs, LCSWs, psychologists, psychiatrists and other clinical and supporting staff.
- It is currently based in the Villages, Florida.
- This role will report to the PCO's Director of BH Strategy and Operations.
Responsibilities
- Own, design, and execute analytics related to program performance, including access, clinical quality, cost, budgets, forecasts, KPIs, technology enablement, and data integrations.
- Build and maintain Power BI-based dashboards to measure program performance (access, clinical quality, cost) and support executive-level reporting.
- Own program reporting and use analytics-driven insights to communicate the program's impact and performance to market leaders and PCO executives.
- Own the business partnership and design input for technical products that support the needs of Tandem Care and PCO clinicians, working in close collaboration with PCO product teams to support delivery.
- Establish and maintain collaborative relationships with strategic stakeholders, including clinical teams, technology partners, data and analytics leaders, and Complex Care leadership, to support program and project implementation and drive adoption of new strategies and tactics.
- Manage special projects at the request of the National BH Director on an ad hoc basis, supporting a range of operational, process improvement, and strategic needs.
- Experience in developing performance dashboards - specifically defining metric definitions, collaborating with analytics and tech teams to implement dashboards, and performing metric quality checks - and defining product feature specifications
- Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to optimize system-level processes and build meaningful relationships across stakeholders
- Strong analytical and problem-solving skills with the ability to develop and implement metrics to measure the effectiveness of care transitions.
Requirements
- 5+ years of cross-functional translation tooling experience (e.g., sitting between clinical leadership team and hands-on-keys product development team)
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required
- In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs.
Nice to have
- Exposure and experience working with EMR platforms (e.g., Athena)
- Reside in the Villages, FL metro area
- Proficiency with Excel (e.g., Pivot tables, analytic models) and Powerpoint
- Excellent communication and interpersonal skills with the ability to communicate effectively with stakeholders at all levels.
- Proficiency in tracking and evaluating process/system outcomes and performing and monitoring rapid cycle process improvement, including in defining and measuring KPIs.
- Excellent project and program management skills
- Understanding of quality and value drivers in full risk care delivery, ideally in Medicare/seniors
- Ability to multi-task in a fast-paced work environment
Compensation
- 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.
- $115,200 - $158,400 per year
- This job is eligible for a bonus incentive plan.
- This incentive opportunity is based upon company and/or individual performance.
Benefits
- Partner closely with the EMR product team, clinical analytics, Medical Economics, and other key stakeholders to define metrics, integrate data, and strengthen reporting capabilities.
- Bachelor's degree in a relevant field (e.g. health care administration, business administration, social work)
- 5+ years experience in healthcare strategy and operations, including in health-related product, IT, analytics, preferably in value-based care or behavioral health
Company info
- About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
- About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.
- 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.
- CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do.
- The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized.
- As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
- CenterWell is part of Humana Inc. (NYSE: HUM).
- Learn more about what we offer at CenterWell.com.
- 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.
- About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
- Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being.
- Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes.
- We go beyond physical health by also addressing other factors that can impact a patient's well-being.
- About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do.
This listing is sourced directly from Humana, Inc.'s careers page and normalized into a canonical job model.