Program Delivery Governance Lead - Stars Enablement

Humana; United States; Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Internet reimbursement for home office

Phone equipment provided

Job summary

Humana seeks a Program Delivery Governance Lead for the Stars Enablement Team to design and optimize governance structures, coordinate budgets, and drive improvements in Stars and quality metrics.

You will lead governance meetings, report outcomes to executives, and collaborate across units to ensure timely decisions and compliance with regulatory requirements in a fast-paced environment.

Qualifications

• 7+ years of experience in program delivery, governance, project management, audit, Stars and/or quality.
• Experience with budgets and financial resources.
• Experience leading cross-functional teams and driving organizational change.
• Strong analytical, problem-solving, and decision-making skills.
• Ability to articulate ideas effectively in writing and speech.
• Experience presenting to large groups and engaging senior stakeholders.

Responsibilities

• Own and enhance the governance process for the Stars organization and governance team, with leadership input.
• Strategically design, implement, and maintain governance structures and forums to improve Stars and quality metrics.
• Coordinate with finance partners to organize Stars OpEx and Admin budgets.
• Lead governance meetings, facilitate decisions, and document outcomes.
• Review, analyze, and report on programs and governance results with actionable insights.
• Advise executives on governance matters and contribute to strategies.
• Implement and monitor changes to governance processes for continuous improvement.
• Exercise independent judgment on complex issues with minimal supervision.
• Collaborate across units to promote alignment and accountability.
• Stay aware of industry trends, regulations, and best practices in governance.

Skills

Program governance

Budget management

Cross-functional leadership

Stakeholder communication

Analytical thinking

Project management

Executive presentation

Education

Bachelor's degree

PMP or CAPM Certification

Lean or Six Sigma certification

Tools

HireVue

Job description

Become a part of our caring community

Stars is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through quality solutions. Stars is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS).

The Program Delivery Governance Lead for the Stars Enablement Team will be responsible for identifying, developing, and implementing governance structures and meeting forums that drive improvements in Stars measure performance and organizational effectiveness. Working closely with a small team, this role will continuously enhance and lead governance processes, ensuring alignment with organizational objectives and regulatory requirements. The Program Delivery Lead addresses issues of diverse scope and complexity, applying independent judgment to deliver results that support Healthy Quality and Stars initiatives.

Key Responsibilities:

• Own and enhance the governance process for the Stars organization, as part of the governance team. And with leadership input and support
• Strategically design, implement, and maintain governance structures and forums to drive improvement in Stars and quality metrics.
• Coordinate with finance partners to help organize the Stars OpEx and Admin budgets
• Lead governance meetings, facilitate decision-making, and ensure effective documentation and communication of outcomes.
• Review, analyze, and report on the results of programs and governance activities, providing actionable insights to stakeholders.
• Advise executives and senior leadership on governance-related matters, contributing to the development of functional and segment-specific strategies.
• Implement and monitor changes to governance processes, ensuring continuous improvement and adaptability to organizational needs.
• Exercise independent judgment and decision-making on complex issues with minimal supervision.
• Collaborate across business units to promote alignment, share best practices, and drive accountability for governance standards.
• Maintain awareness of industry trends, regulatory requirements, and best practices related to governance and Stars program management.
• Effectively identifies key decision points and understands when to properly elevate and ensure the right levels of leadership are present for decision making.
• Comfortable working in a fast-paced environment and proactively communicating/pivoting when changes to agenda or audience members present for decision making are needed.
• Remain organized while managing multiple initiatives and hold DRI's accountable to follow-through on key action items/asks from Senior leadership.
• Regularly interfaces with executives, leadership, and stakeholders at all levels.

Required Qualifications

• Bachelor's degree
• 7 or more years of experience in program delivery, governance, project management, audit, Stars and/or quality
• Demonstrated comfort working with budgets and financial resources
• Experience leading cross-functional teams, managing complex projects, and driving organizational change
• Strong analytical, problem-solving, and decision-making skills
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Experience presenting to large groups and engage senior stakeholders

Preferred Qualifications

• Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider
• PMP or CAPM Certification
• Lean or Six Sigma certification

Additional Information

• 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 recommended; 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

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [e-mail] with instructions on how to add the info