Description

Our strategy is centered on providing a consumer-focused, integrated care experience that makes it easy for people to achieve their best health through outstanding clinical capabilities and through an experience that is simple and personalized. A key component of our strategy is our Integrated Care Delivery model which places our members at the center of everything we do, with a focus on helping them manage their health holistically. We continue to accelerate our strategy through focusing on people living with chronic conditions – particularly those aging into or already in Medicare Advantage or dual-eligible plans.

We recognize that health and lifestyle are intrinsically connected. By addressing social determinants of health and by removing difficult friction points for our members, their health care providers and caregivers, we can help people change unhealthy behaviors. We are a leader in adopting value-based payment models that reimburse for health outcomes, as opposed to services performed, which can improve health, boost quality and control costs. Finally, we are integrating systems and processes using the latest technology to create a simpler, better experience that causes people to engage in their health in close alliance with their doctors. The ultimate goal of our approach is to enable the best possible health and experience for our members at an affordable cost.

Responsibilities

Position Overview

Come help us redefine the future of healthcare.  With a history of transformation over the last 50 years, Humana is once again transforming itself using a startup approach.  We are seeking leaders who are passionate about solving big problems in healthcare for seniors. 

The AVP of Product Management of Multidisicplinary Care and Utilization Management will play a key role in redefining the future of Multi disciplinary care management, delivery and utilization management. This role will be critical to leading and driving the product vision and strategy, product management, customer experiences and product adoption for all relevant product lines. This Product AVP is accountable for managing the full, end-to-end lifecycle of care and utilization management related products.

The leadership role will be accountable for the product strategy and will have decision rights to set the product roadmaps, decide for the product capabilities, what to build/partner, design, launch, and manage an entirely new line of cutting-edge products for the company and optimize current portfolio.

The ideal candidate has significant experience launching consumer-facing products and leading highly matrixed teams to create compelling and resonant customer experiences to drive both clinical and financial outcomes. This position reports directly to the Chief Clinical Product Officer of Humana.

Key Responsibilities

• Manage the development and execution of comprehensive, strategic product development and partnership plans aimed at: delivering innovative, effective, and highly-competitive products and solutions for Multidisciplinary care and utilization management product lines
• Accountable for all aspects of the assigned product lines including user experience, development and execution
• Partnering closely with operational leaders across the enterprise including Home solutions and Segments, ensure that clinical product investment and performance are consistent with customer needs
• Responsible for the end-to-end member journey experience. Define requirements to drive improved customer experiences and outcomes based on external inputs
• In collaboration with relevant business partners across Humana, responsible for defining and leading the execution of roadmap for a unified customer experience across the assigned clinical cohorts
• Drive the development of products that deliver on both clinical outcomes and financial outcomes through partnerships with operations, customer success teams and enterprise teams
• Validate new market opportunities, assess client needs, and build ROI driven business plans
• Determine when to discontinue investment into capabilities and user experiences, as part of lifecycle management
• Define and analyze the core metrics that will inform the success of products

Impact of this role:

• Products developed by this role could touch all 6 Million Humana clinical members as well as potential for external membership through Kindred at Home and CDO (Care Delivery Organization) in the future
• Results have direct impact on clinical and member experiences
• Results have direct impact on clinical operational expenses, operational costs and department outcomes
• Establish and manage meaningful product P&Ls for the portfolio (Product “P&L” could mean profit or trend bender depending on the context)

Primary measures of success:

• Clinical and financial outcomes
• Meaningful adoption  (percentage of eligible members actively using product)
• Member/customer engagement with the product driven by integrated/personalized experiences (i.e., NPS or active engagement metrics)

Required Qualifications

• Minimum 12+ years of care management and/or utilization management experience
• Minimum 3 to 5 years of product management or business management experience in the Healthcare industry
• Bachelor’s degree in business management, clinical, or related field; MBA preferred
• Experience with end-to-end execution of  innovative clinical solutions enabled by technology
• Strong leader with minimum 10 years of experience in managing, coaching, and leading staff including multi-functional teams
• Proven record of developing user-centered, innovative clinical solutions
• Solid track record of driving solutions that achieved clinical and financial outcomes
• Both quantitative and qualitative analysis experience, with the ability to drive to trend identification and actionable insights
• Travel required: Up to 40% on regular basis

Preferred Qualifications

• Healthcare experience, either in the managed care or provider spaces. Direct experience in the healthcare technology industry preferred
• Creative, articulate professional who can help introduce, develop and promote new business ideas into the corporate vision
• Strong interpersonal skills; demonstrated ability to work collaboratively with a wide range of individuals at all levels of the organization
• Competence working on very large and most complex assignments
• Ability to drive significant transformation
• Strong ability to drive cross functional teams to alignment in the midst of ambiguity