Director, Interoperability Performance Management

at Humana in Dover, Delaware, United States

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

At Humana, we are leading the industry in payer-to-provider interoperability and driving better outcomes for our providers and members. In this role, you will be directing the interoperability performance management function. You and the team you lead will be Interoperability’s liaison with internal partners to help identify and drive committed value and measure and ensure growth of the program.

As the Director of Interoperability Performance Management, the ideal candidate will be comfortable with identifying and managing value associated with two dozen product use cases, while also leading a team business intelligence leaders. To be successful in this position, you will need (or be able to quickly develop) an understanding of payer-to-provider interoperability and interoperability more broadly in the healthcare payer space. You will work with internal Humana business owners to form partnerships that help the performance of the product thrive.

Outcomes:

+ Value all interoperability use-cases.

+ Commit P&L value with aligned business partners

+ Create a suite of operational dashboards to measure interoperability growth all use-cases.

+ Create a suite of quality dashboards to measure interoperability utilization across all use-cases.

+ Manage department budget within

Key Responsibilities:

+ Identify and monitor value of product use case to the member, the provider, and the Enterprise.

+ Communicate with partners regarding day-to-day matters and lead long-term strategy efforts.

+ Build and maintain positive relationships with internal partners throughout the year.

+ Monitor and optimize Product performance to improve outcomes of the interoperability function.

+ Complete Cost Benefit Analysis on new vendor partners in partnership with product teams.

+ Provide input into the broader interoperability strategy.

+ Lead and develop a team of supporting associates.

Use your skills to make an impact

Required Qualifications

+ Bachelors degree in business, healthcare studies, or related field

+ 6+ years of healthcare industry experience

+ Ability to travel 15-20%

Preferred Qualifications

Minimum qualifications, plus:

+ Healthcare experience within an interoperability, finance and/or actuarial capacity

+ 1+ years’ experience with healthcare interoperability

+ MBA in business, healthcare studies, or related field

+ Prior experience working on or around interoperability within the healthcare setting

+ Knowledge of Medicare Advantage, and experience leading an operational unit

Scheduled Weekly Hours

40

Pay Range

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.$164,700 – $226,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

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, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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 because he or she is a protected veteran. 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our