Associate VP, Dual Segment Strategy Advancement at Humana Studio_h

| Greater Boston Area
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Description

 

Humana is a publicly traded, Fortune 100 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60’s, to the largest US hospital corporation in the 80’s, to a leading health company beginning in the 90’s. Today, Humana is a leader in consumer-focused health solutions and is one of the largest healthcare organizations in the country.

 

Responsibilities

 

Humana’s Retail business segment is comprised of the company’s Medicare and Medicaid businesses. Retail is Humana’s largest business segment, comprising over 80% of the company’s total revenue and the majority of its earnings. Humana has a rapidly growing presence at the intersection of Medicare Advantage and Medicaid through serving Dual Eligible consumers in our MAPD and DNSP plans. Humana is seeking an experienced executive to focus on accelerating growth, transforming the customer experience, and improving health outcomes of our Duals membership. The Associate Vice President, Duals Segment, creates impact at the intersection between Humana’s core insurance operations, care businesses and local markets by developing and delivering against an ongoing 3 year strategic roadmap, while ensuring annual progress and continuous improvement across objectives and key results. This role will rely heavily on an in-depth understanding of how managed care organizations can create value for the Dual Eligible population and key stakeholders in the healthcare ecosystem.

 

Key Responsibilities

  • Set, manage and deliver an ongoing 3 year Duals strategy and growth roadmap inclusive of organic and inorganic opportunities in partnership with key corporate functions and regional insurance businesses.
  • Coordinate stakeholders within core Humana functions to deliver an integrated human care experience across multiple aspects of the consumer journey for Duals members (e.g., sales and distribution, insurance product design, customer service, digital product and experience development, provider network, health care services, etc.).
  • Build relationships with regional insurance organizations to drive membership growth, deploy products, customize and iterate offerings based on local conditions and insights, and ensure consistency in consumer experiences and capabilities where essential to quality and national scalability.
  • Drive business case development to support change management initiatives required to deliver on desired growth, customer experience and health outcomes.
  • Establish and manage quarterly Objectives and Key Results in partnership with others in the organization to drive growth, experience and health outcomes for the Duals population.

               

Required Qualifications

  • Master's Degree
  • 10 or more years of experience within US managed care or similar organization
  • 8 or more years of leadership experience
  • Experience with integrated payment and care models between Medicare and Medicaid programs
  • P&L accountability or strategic leadership experience within a large Medicare or Medicaid organization and/or integrated health system
  • Demonstrated success driving organic and/or inorganic growth in highly regulated and dynamic environment
  • Ability to lead and influence through horizontal and matrixed team models in a large organization
  • Experience managing end-to-end decision making, including decision or input-rights into sales, marketing, product, customer service, clinical, quality, plan operations and technology decisions
  • Experience driving organizational transformation, including operating and clinical model changes to drive health outcomes and membership growth
  • Strong background in social determinants of health and impact on health outcomes
  • Experience with Medicare and/or Medicaid product design and new innovative plan benefit design programs
  • Strong communications and facilitation skills with proven track record of engaging with C-level executives and Board-level stakeholders
  • Passionate about contributing to an organization focused on continuously improving consumer experiences

 

Preferred Qualifications

  • Experience with provider network development, and innovative risk arrangements and incentive structures
  • Experience building and managing strong collaborative relationships with state Medicaid agencies
  • Experience with human-centered design and primary consumer research to inform perspectives on critical needs and business opportunities
  • Experience with agile development and testing methodologies
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Location

Our bright, brand new, open-concept offices are located in the bustling Seaport district surrounded by like-minded high-tech and start-up companies.

An Insider's view of Humana Studio_h

What’s the vibe like in the office?

The Boston office is very open and built to make conversations & interactions easier. It’s easy to reach out to people (at any level) to ask for help, input, or just have a casual chat. There are 2 community managers who also help to plan events throughout the week for associates (e.g., yoga, happy hour, games). It’s a super lively environment!

Nanxi Ling

Experience and Transformation Lead

What projects are you most excited about?

The opportunity to be part of launching new products and care plans from greenfield by leveraging the latest technology stack and building best in class experience for both internal and external facing user applications, that will ultimately help us a company to focus on “Whole Person Health” rather than being than being a transaction system.

Kapil Sibal

AVP, Software Engineering

What are Humana Studio_h Perks + Benefits

Humana Studio_h Benefits Overview

• 401(k) with 125% match on first 6% contributed
• Associate Incentive Plan (AIP)
• Personal Time Off (PTO)
• Two Personal Holidays in addition to other major holidays
• Volunteer Time Off (VTO)
• Tuition Assistance
• Parental Leave / Caregiver Leave
• Comprehensive medical, dental, and vision insurance with subsidized premiums
• Life & Disability Benefits
• Adoption Assistance
• $2,500 Associate Referral Bonus for qualified positions
• Wage Works parking and commutation pre-tax benefit
• Charitable Matching Gift Program
• Network Resource Groups

Culture
Volunteer in local community
Volunteerism at Humana is part of our DNA - each employee is given 2 full days per year to designate to the cause of their choice. Volunteer on your own or with your team.
Partners with Nonprofits
Humana Foundation, Bold Goal Initiatives + MANY MORE!!!
Eat lunch together
Intracompany committees
Cross organization projects and initiatives, Network Resource Groups
Daily stand up
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Documented equal pay policy
Dedicated Diversity/Inclusion Staff
Highly diverse management team
Humana is ranked #42 on DiversityInc's Top 50 Companies for Diversity and Inclusion. Our CEO Bruce Broussard Chairs the Executive Diversity Council and sets our agenda.
Unconscious bias training
Humana is partnering with Cook Ross, renowned consulting firm with deep expertise in Unconscious Bias to ensure that everyone can bring their whole self to work.
Diversity manifesto
Someone's primary function is managing the company’s diversity and inclusion initiatives
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Retirement & Stock Options Benefits
401(K)
Humana's retirement plan is administered by Charles Schwab and offers a broad selection of stocks, bonds and international index funds to choose from.
401(K) Matching
Humana provides employees with a 401(k) matching plan managed by Charles Schwab. We match 125% of contributions up to 6% of an employee's annual gross pay.
Performance Bonus
The Associate Incentive Plan, or AIP, enables us to recognize associates for their contributions to the company's performance and outstanding contributions to those we serve.
Match charitable contributions
The Humana Foundation will match your donation dollar for dollar up to $100 per calendar year; or $2 for every $1 if you donate to an active Humana Foundation grant recipient.
Child Care & Parental Leave Benefits
Generous Parental Leave
Parental Leave provides up to 6 weeks of paid time away from work to bond with your newly born, adopted, or fostered child. The Parental Leave benefits are available to both the primary and secondary
Flexible Work Schedule
Humana provides employees with a flexible work schedule that includes Core hours but is at the discretion of leadership.
Family Medical Leave
Employees who have been with the company for 12 months are eligible for 12 weeks of family medical leave.
Adoption Assistance
We reimburse up to $5000 for eligible adoption expenses and 6 weeks of paid leave, 6 weeks unpaid.
Vacation & Time Off Benefits
Generous PTO
Paid Volunteer Time
Our employees receive 16 hours per year of paid volunteer time.
Paid Holidays
Paid Sick Days
Perks & Discounts
Beer on Tap
Casual Dress
Commuter Benefits
Humana offers a pre-tax commutation benefit through Wage Works.
Game Room
Relocation Assistance
Professional Development Benefits
Job Training & Conferences
Acme Co. offers employees professional development opportunities like Annual individual budget for training, Onsite training courses, The ability to attend job related conferences and seminars.
Tuition Reimbursement
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Mentorship program
Our mentorship program includes 1-to-1 program, 1-to-many program, Cross-department program, Career mentoring, Leadership mentoring.
Online course subscriptions available
Paid industry certifications
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