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 The VP, Strategy Advancement provides executive leadership to Humana.

               

This role will be part of the HQRI Leadership Team, partnering directly with HQRI leadership, leaders across the enterprise, including Market leadership, and external companies to create Medicare Risk Adjustment strategies to support Humana’s industry leading position. This role establishes relationships with external vendors whose products may be valuable resources for supporting our business goals, or viable solutions to business challenges that have been identified. In addition, the role serves as a central point of contact for the lines of business as relates to key Stars and Risk Adjustment initiatives. The VP provides product management and strategy support at a more operational level. This position will report directly to the Senior Vice President of HQRI and can be based anywhere within the lower 48 states. 

Key Responsibilities:

· Deliver on a wide range of strategy and development activities, including business unit level strategy and enterprise level partnerships 

· Convert strategy/development priorities into business cases and projects while prioritizing timelines and ensuring consensus and execution 

· Refine strategy for Risk Adjustment and Stars/Quality with respect to new clinical programs, connecting to both existing work within the enterprise and new opportunities 

· Leverage external industry experience to identify new opportunities to maintain competitive advantage in the market with respect to Risk Adjustment and Stars/Quality 

· Conceptualize, develop, and execute new opportunities in conjunction with corporate and market partners

· Partner with Government Affairs to ensure focus on new and future regulations and policy 

· Collaborate with Retail leaders to develop and deliver executive and market level reporting for Stars/Quality and Risk Adjustment 

· Develop and manage annual Operational and Key Results for HQRI that are tracked at the enterprise level 

· Support Enterprise Merger and Acquisition partners to evaluate potential procurement opportunities focused on risk adjustment capabilities 

· Identify opportunities and impacts as a result of Centers for Medicare and Medicaid Innovation enhancements and offerings

· Compose responses to industry-based inquiries in partnership with Corporate Communications 

· Represent SVP, HQRI in enterprise level to ensure all Risk Adjustment and Stars/Quality impacts and opportunities are considered 

· Keep a close connection to market trends and external opportunities, including developing and growing professional network in key strategic areas 

Key Candidate Qualifications:

The ideal candidate will have current or recent healthcare industry experience on the payer side (typically at least two years) with responsibility for the creation and ownership of strategies for a large business unit. This person will also have a proven record of success in orchestrating the efforts of cross-functional colleagues in large-scale projects. Bachelor’s degree in a relevant field is required. 

Use your skills to make an impact
 

In addition to the above, the following technical qualifications and personal attributes are also sought: 

· Strong business acumen and analytical skills 

· Ability to identify, structure and solve ambiguous business problems 

· The ability to “connect the dots” and understand how to optimize system-level processes and resources 

· A record of success in attracting, developing, and motivating top talent from inside and outside of the organization, and preparing direct reports for expanded responsibilities 

· Experience in managing change by leading and energizing others, modeling adaptability, and inspiring strong organizational performance through periods of transformation, ambiguity, and complexity 

· Excellent relationship-building skills and proven ability to work collaboratively through various departments and functional areas, promoting a culture of proactive teamwork

· Current or recent experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment 

· Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences 

· Vendor management experience 

· Functional experience in the Medicare Stars/Quality or Risk Adjustment areas is a plus 

· MBA preferred 

Scheduled Weekly Hours

40

Application Deadline: 03-07-2025
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.