Service Fund Value Based Programs Lead

Humana Inc; Town of Florida (NY); Hybrid; USD 104,000 - 143,000; Full time

Job summary

Humana Inc. seeks a Services Fund Value Based Programs Lead to develop, manage, and deliver strategic value-based initiatives that align with enterprise objectives and improve operational effectiveness across the organization.

You will partner with executives and cross-functional leaders to define implementation plans, manage timelines, identify risks, and ensure successful program execution, while preparing clear communications and executive-ready presentations for strategic discussions and

Qualifications

• 7+ years of health care or managed care experience with a provider focus.
• 5+ years of experience leading program delivery efforts.
• 5+ years' experience improving processes and implementing efficient workflows, tools, and operating practices.
• 5+ years project management experience.
• 5+ years of experience advising executives and functional leaders on strategic priorities, operational impacts, and program-related decisions.
• Experience presenting to Senior Leadership and translating complex information into executive materials.

Responsibilities

• Serve as a subject matter expert for specialty value-based programs and timelines.
• Evaluate program outcomes and communicate insights to executives and leaders.
• Lead strategic planning and advise on functional initiatives aligning with business goals.
• Prepare clear written communications and professional PowerPoint presentations for decisions.
• Partner with leaders to ensure successful program execution and impact.

Skills

Healthcare experience

Program delivery leadership

Process improvement

Project management

Executive communications

Stakeholder management

Education

Master's Degree in Business Administration

Tools

PMP Certification

Six Sigma Certification

Job description

Become a part of our caring community The Service Fund Value Based Programs Lead develops, manages, and delivers strategic programs designed to support business objectives, operational effectiveness, and continuous process improvement. You will partner with leaders and cross‑functional stakeholders to define implementation plans, manage project timelines, identify risks and dependencies, and ensure successful program execution. You will report to the Associate VP.

Key Responsibilities

• Serve as a subject matter expert for specialty value‑based programs, establishing evidence‑based approaches, priorities, and timelines that align with enterprise performance objectives and support specialist engagement
• Evaluate program outcomes, analyze performance results, and communicate insights, progress, and recommendations to executives and business leaders
• Perform strategic planning and strategy development work, including advising on functional and segment‑specific initiatives, identifying opportunities, and shaping recommendations that support business priorities and operational goals
• Prepare clear written communications, deliver stakeholder updates, and create professional PowerPoint presentations to support executive decision‑making, program reporting, and strategic discussions
• Use your skills to make an impact

Required Qualifications

• 7+ years of health care or managed care experience with a provider focus
• 5+ years of experience leading program delivery efforts
• 5+ years' experience improving processes and implementing efficient workflows, tools, and operating practices
• 5+ years project management experience
• 5+ years of experience advising executives and functional leaders on strategic priorities, operational impacts, and program‑related decisions
• Experience presenting to Senior Leadership
• Experience creating PowerPoint presentations that translate complex information into clear, concise, and visually effective executive‑level materials

Preferred Qualifications

• Master's Degree in Business Administration or a related field
• Experience in Value‑based Care Programs
• PMP certification
• Six Sigma Certification

Work at Home Requirements

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 25Mbps and an upload speed of 10Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$104,000 - $143,000 per year. This 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, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.