Program Delivery Governance Lead – Stars Enablement

Humana

Program Delivery Governance Lead – Stars Enablement

Location: Remote, Nationwide

Remote Job: Yes

widget: Full time

Category: Corporate

Humana

Job ID: R-428013

Description

• Become a part of our caring community

• Stars is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through quality solutions. Stars is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS).

• The Program Delivery Governance Lead for the Stars Enablement Team will be responsible for identifying, developing, and implementing governance structures and meeting forums that drive improvements in Stars measure performance and organizational effectiveness. Working closely with a small team, this role will continuously enhance and lead governance processes, ensuring alignment with organizational objectives and regulatory requirements. The Program Delivery Lead addresses issues of diverse scope and complexity, applying independent judgment to deliver results that support Healthy Quality and Stars initiatives.

Key Responsibilities

• Own and enhance the governance process for the Stars organization, as part of the governance team. And with leadership input and support

• Strategically design, implement, and maintain governance structures and forums to drive improvement in Stars and quality metrics.

• Coordinate with finance partners to help organize the Stars OpEx and Admin budgets

• Lead governance meetings, facilitate decision-making, and ensure effective documentation and communication of outcomes.

• Review, analyze, and report on the results of programs and governance activities, providing actionable insights to stakeholders.

• Advise executives and senior leadership on governance-related matters, contributing to the development of functional and segment-specific strategies.

• Implement and monitor changes to governance processes, ensuring continuous improvement and adaptability to organizational needs.

• Exercise independent judgment and decision-making on complex issues with minimal supervision.

• Collaborate across business units to promote alignment, share best practices, and drive accountability for governance standards.

• Maintain awareness of industry trends, regulatory requirements, and best practices related to governance and Stars program management.

• Effectively identifies key decision points and understands when to properly escalate and ensure the right levels of leadership are present for decision making.

• Comfortable working in a fast-paced environment and proactively communicating/pivoting when changes to agenda or audience members present for decision making are needed.

• Remain organized while managing multiple initiatives and hold DRI’s accountable to follow-through on key action items/asks from Senior leadership.

• Regularly interfaces with executives, leadership, and stakeholders at all levels.

• Use your skills to make an impact

• Required Qualifications

• Bachelor's degree

• 7 or more years of experience in program delivery, governance, project management, audit, Stars and/or quality

• Demonstrated 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

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

• Experience presenting to large groups and engage senior stakeholders

• Preferred Qualifications

• Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider

• PMP or CAPM Certification

• Lean or Six Sigma certification

• 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

• Work at Home

Requirements

• 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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.

• $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.

• 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

• 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.

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• If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited