Remote Behavioral Health Program Delivery Lead

Humana Inc; Trenton (NJ); Remote; USD 115,000 - 158,000; Full time

Benefits offered by this job

Health benefits

401(k) retirement savings

Paid time off

Job summary

Humana Inc is seeking an Innovation Portfolio Strategy Advisor to drive product delivery across a behavioral health portfolio within a managed care setting. The role collaborates across departments to align priorities, oversee delivery, and advance network quality and access for MA and MCD.

The role emphasizes developing and executing strategies to improve provider performance, access, and member outcomes, with travel as needed and a strong emphasis on cross-functional leadership and stakeholder

Qualifications

• Bachelor’s Degree is required.
• 8+ years’ experience in network strategy, provider relations, or behavioral health management within a managed care setting.
• Skilled in developing strategic partnerships and engaging with internal and external stakeholders to support behavioral health initiatives.
• Proven ability to lead cross-functional teams and implement strategic initiatives.
• Strong analytical skills, with experience in provider performance measurement and network adequacy.
• Demonstrated ability to articulate ideas effectively in writing and in speech.

Responsibilities

• Network Access Monitoring: Establish and maintain real-time insights into BH network access across MA and MCD.
• Provider Performance Measurement: Develop, implement, and manage provider scorecards and tiering systems to assess performance and quality.
• Cross-functional Collaboration: Partner with MA and MCD network teams, MA network adequacy team, and market leadership to use network data for improvement.
• Value-Based Initiatives: Launch and lead Pay-for-Performance (P4P) projects for MA providers and expand programs within MCD.
• Provider Relationship Management: Manage Joint Operating Committees and sustain relationships with large provider groups.

Skills

Network strategy

Provider relations

Stakeholder engagement

Cross-functional leadership

Analytical skills

Education

Bachelor’s Degree

Master’s Degree

Job description

Humana Inc is seeking an Innovation Portfolio Strategy Advisor to drive product delivery across a behavioral health portfolio within a managed care setting. The role collaborates across departments to align priorities, oversee delivery, and advance network quality and access for MA and MCD.

The role emphasizes developing and executing strategies to improve provider performance, access, and member outcomes, with travel as needed and a strong emphasis on cross-functional leadership and stakeholder