Stars Improvement Principal, Integrated Plans

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

The Stars Improvement Principal, Integrated Plans, is responsible for developing, owning, and managing the Stars enterprise strategy for new integrated Dual Eligible Special Needs Plans (D-SNPs). This leader will play a critical role in driving Stars performance and improving quality outcomes for our members by aligning stakeholders across the organization and ensuring execution of strategic initiatives. The ideal candidate is a highly skilled strategist with deep expertise in Medicare, Medicaid, and Stars programs, and has a proven record of cross-functional leadership in a matrixed environment.

• Develop and execute the integrated D-SNP Stars contract and improvement strategy, effectively communicating vision and priorities to create alignment and inspire action across the enterprise

• Lead and influence key enterprise stakeholders, including Market Leadership, Product, Compliance, Medicaid, and Stars teams, to consensus on contract strategy and Stars performance improvement efforts

• Analyze and interpret data on contract performance, market trends, and membership sub-populations, using insights to shape strategic recommendations and educate leadership

• Recommend and influence contract structures and consolidations to optimize Stars performance and respond to future market needs

• Conduct ongoing market research to monitor changes in the Medicare and Medicaid landscapes, ensuring strategies are responsive to industry trends and competitor activity

• Establish and track key performance indicators for strategy success, making data-driven adjustments as needed

• Serve as an advanced subject matter expert on integrated D-SNPs, Medicare Stars, and related regulatory requirements, providing strategic guidance to teams across the organization

• Foster a culture of accountability and continuous improvement in Stars performance through strong collaboration and relationship-building

Required Qualifications:

• Bachelor’s degree in Healthcare Administration, Business Administration, or related field or equivalent experience

• 10+ years of experience in healthcare strategy, contract management, or market finance roles

• 2+ years of proven cross-functional leadership experience

• Deep understanding of Medicare and Medicaid regulations, reimbursement methodologies, and industry trends

• Strong analytical and data interpretation skills, with the ability to translate insights into actionable strategies

• Exceptional communication, presentation, and negotiation skills

• Demonstrated track record of influencing leaders and driving improvement initiatives in a matrixed organization

• Advanced proficiency in Microsoft Office applications (Word, Excel, PowerPoint) and business intelligence tools

• Master’s degree

• Experience with Medicare Stars, HEDIS, or D-SNP programs

• Background in strategic consulting

Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced healthcare industry, we offer associates careers that challenge, support, and inspire them. If you are ready to help people achieve lifelong well-being and make an impact on the future of healthcare, Humana has the right opportunity for you.

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.

$138,900 - $191,000 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…