Senior Program Delivery Professional

Become a part of our caring community and help us put health first

The Senior Program Delivery Professional organization seeks to set the gold standard for insights and care, empowering people to live healthier lives. The Provider Programs Organization contributes to this vision through a portfolio of Humana-developed and vended in-office programs designed to enhance member outcomes and provider experience. These programs leverage multiple channels (e.g., EMR integration; Web) to deliver actionable insights and improve care across Humana’s national footprint.

The Senior Program Delivery Professional role requires an in-depth evaluation of variable factors that will drive process improvements and optimize delivery for maximum impact.

The Senior Provider Programs Professional supports business operations for provider programs by ensuring smooth transitions, accurate reporting, process improvements, and effective stakeholder collaboration. This role is responsible for monitoring, troubleshooting, and resolving issues across multiple platforms, supporting training and onboarding efforts, and contributing to data-driven decision-making. The associate will work cross-functionally with internal and external teams to optimize operational effectiveness, compliance, and provider engagement.

• Serves as the primary contact for business operations support for Point of Care Alerts (POCA) for the aligned EHR
• Assists with POCA alert interpretation, enhancements, troubleshooting, and issue resolution collaborating with IT and data informatics teams
• Coordinates with stakeholders to update and maintain key communications, materials, reports, and dashboards, ensuring accuracy
• Comfortable explaining findings, insights, and recommendations to other teams and/or leadership to drive next steps
• Establish and maintain efficient communication channels, support mailbox management, and facilitate cross-team workflow organization
• Monitors operational reports for program effectiveness and recommends program improvements based on data insights
• Ensures adherence to organizational operating policies, procedures and compliance requirements
• Supports POCA program process documentation and operational readiness for accuracy and completeness

• Bachelor’s degree in business, Healthcare Administration, Information Systems, or related field preferred.
• 2+ years prior demonstrated experience driving operational program improvements.
• Experience with business process, provider operations, program delivery, or project management within a healthcare environment.
• Strong analytic skills and ability to use data to drive improvement activities.
• Experience presenting to mid-level leadership.
• Comprehensive knowledge of all Microsoft applications, including Word, Excel, and PowerPoint.
• Strong organizational and prioritization skills with the ability to manage multiple priorities, adapt to change, and collaborate effectively across teams.

• Medicare Risk Adjustment and/or Stars Quality experience.
• Experience with Electronic Health Record (EHR) systems.
• Six Sigma or Lean certification.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

40

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.

$86,300 - $118,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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,…