In-Home Stars Program Delivery Lead

This is a fully remote position, open to applicants in California, +3 more states.

📋 Description

• Identify, design, and execute programs that influence providers, members, or market leadership towards value-based relationships and enhanced quality metrics.

• Develop Stars initiatives aimed at boosting performance and increasing the clinical value of the in-home program.

• Collaborate with leaders on the implementation, planning, and enhancement of programs.

• Analyze complex data sets, trends, and insights to review and communicate program outcomes.

• Create functional strategies to enhance Stars performance.

• Guide and oversee external vendors as well as internal partners.

• Provide strategic leadership and foster collaboration to support Stars and Pharmacy operations.

• Work together with Humana leaders, external partners, and the in-home team to develop short- and long-term solutions.

• Formulate and refine frameworks for deliverables, processes, reporting, and performance tracking.

• Enhance Stars-related program components, such as referrals, screenings, member follow-up, HRAs, PCP summaries, and visit data.

• Drive tangible improvements in Stars metrics and outcomes.

⛳️ Requirements

• Bachelor’s degree.

• 7 or more years of experience in program management, vendor management, and/or strategy.

• Experience with Stars programs.

• Proven experience presenting to leadership.

• Strong skills in relationship building.

• Excellent analytical abilities.

• Proficient in Microsoft Office XP products, including Word, Excel, and PowerPoint.

• Demonstrated ability to effectively articulate ideas in both written and verbal formats.

• Master’s Degree in Business Administration or a related field (preferred).

• Desired experience with HEDIS.

• PMP certification is advantageous.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability coverage.

• Long-term disability coverage.

• Life insurance.

• Internet expense reimbursement for employees who reside and work from home in California, Illinois, Montana, or South Dakota.

• Company-provided telephone equipment.

• HireVue interview technology.