Enterprise Transformation Lead, Strategic Trend Partnerships

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The Strategic Trend Partnerships team collaborates across the enterprise to identify external solutions and then contract, implement, and manage ongoing partnerships. The Contracting and Financial Oversight team under Strategic Trend Partnerships will negotiate and work across several teams to finalize the contract. The specialty of the team is value-based contracting for specific disease states, and then on-going financial management with support from Healthcare Economics.

The team’s focus is to deliver enterprise value through strategic partnerships that improve member outcomes and generate trend savings.

Location:

remote

The Enterprise Transformation Lead will be the business owner for key strategic vendor programs. The Lead will be DRI of several key activities:
Align on member scope, impactable claim spend, ideal contract structure; extract max value while ensuring partner is set up for success. In addition, the Lead will have an ongoing business relationship with key executives at outside companies, including CEO, CFO, and Chief Growth Officers. Portfolios including Population Health, Cardiology, Oncology, Behavioral Health, Post Acute, and Kidney.

• Leading Kick-off meeting with internal stakeholders and to gain buy-in.
• Create understanding of problem to be solved and how potential vendor can solve.
• Understanding historical performance of member population.
• Create financial terms that align with Humana expectations.
• Negotiate multi-year agreement, and collaborate with Value-based Strategies, Law Department, and Healthcare Economics.
• Navigate market pressures and any regulatory impact.
• Analyze monthly performance of claims and revenue and affirm monthly accruals to Finance.
• Active owner of overall relationship and anticipate potential disputes or need for amendments.

• 7 years of experience with performance management of external provider/vendors, operational, Medicare based health care management program management and/or business consulting
• Minimum of 3 years contracting experience with provider/vendors
• Strong background in process improvement
• Strong business and financial acumen
• Ability to interact with and defend position with senior management
• Exceptional communication and interpersonal skills with the ability to quickly build rapport at all levels within the organization
• Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, and Teams

• Bachelor's Degree
• Experience with vendor management or program management
• Working knowledge of Humana's legal and compliance responsibilities
• Ability to navigate the Medicare regions and broader Insurance organization to implement and operate program

This role will report to Director of Strategy Advancement

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.

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.

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.

$115,20…