Jobs in New Bedford, United States

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

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

The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations.

Location: remote or hybrid if close to Louisville

Reporting to the AVP, Stars Operations, the Stars Operations Strategist provides evidence-based strategic direction to identify and address business issues and opportunities. The role provides strategic planning support for the organization. The Stars Operations Strategy Lead requires an in-depth understanding of how the Stars Operations team capabilities and goals interrelate across the broader Health Quality and Stars organization and enterprise.

• Strategic planning support – Collaborate with Stars Operations leaders to determine and prioritize business strategies. Coordinate with leadership to complete vision / mission development and articulate strategic priorities. Maintain annual and long-term plans. Coordinate dependencies and other inter-related efforts across teams (especially when priorities conflict) and facilitate work by ensuring teams have the resources they need.
• Organizational Alignment – Ensure strategic alignment across the Stars HEDIS, CAHPS and HOS portfolio. Create structure to properly prioritize initiatives/projects that align with strategic objectives. Develop and lead the prioritization process, articulate tradeoffs and make recommendations to leadership on selection to ensure the operations team is working on the right things.
• Manage operating cadence and business rhythm – Establish, document, and mature repeatable processes for critical business functions that occur on a regular cadence like team meetings, budget planning, strategic planning, along with the overall planning and execution tempo of the organization.
• Internal communications – Compile regular updates on business activities to generate cross-team awareness. Partner to plan leadership team meetings, all-hands meetings, and other cross-team events. Assist in shaping organizational culture, values, and expectations. Partner with culture, associate experience, communications, and other teams to leverage their expertise as appropriate.
• Executive communications – Maximize internal voice with key stakeholders. Includes preparation and after-action reviews with significant meeting forums. Responsible for setting agendas, establishing deadlines, working with presenters to develop materials, ensuring materials are high quality, owning end-to-end content review prior to the meeting, and capturing and making any necessary edits.
• Leadership effectiveness – Serve as a formal and informal adviser to improve the effectiveness of the AVP and direct reports. Help leaders carry out the organization’s vision and strategic intent at all levels. Serve a team representative where needed, identifying opportunities and drive follow-up as needed. Act as a first point of contact keeping the senior leaders aware of unanticipated problems or opportunities with identified initiatives, and a proxy for the leadership team in resolving issues.
• Monitor and evaluate organizational progress – Define, align, and track success metrics. Identify gaps and make recommendations for improvement. Establish, operate, and improve the systems that capture, track, and regularly report on work in flight, especially strategic or other cross-functional initiatives, to ensure situational awareness at all levels. Present recommendations to mitigate risks and resolve conflicts.

• Bachelors Degree
• 7 or more years of strategy, portfolio management and/or program optimization
• Ability to work with cross functional teams, including aligned resources and operational partners
• Executive communications experience both written and verbal
• Ability to quickly build and maintain trust with business leaders
• Demonstrated ability working within a matrixed environment and managing senior stakeholders
• Ability to present to senior level leadership
• Strong business and financial acumen
• Comprehensive knowledge of Microsoft Power Point, Word, and Excel
• Proven skills influencing others and a track record of success working through ambiguity

• Master’s Degree
• Medicare Stars experience

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.

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 required; 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 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.

$115,200 - $158,400 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 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.

Application Deadline: 10-05-2025

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.

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.

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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.