Become a part of our caring community and help us put health first
 The Senior Clinic Operations Strategy Professional develops, implements, and manages oversight of the Primary Care Organizations Medicare Advantage Stars Program. The Senior Clinic Operations Strategy Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Clinic Operations Strategy Professional will serve the PCO through detailed tracking of Stars performance for each Value-based agreement at the national and market level to ensure early identification of gaps and areas of focus based on performance for each of those contracts and monitoring of market level performance against projections and targets.

The Senior Clinic Operations Strategy Professional

Identifies key areas of focus for quality star rating improvement in the Primary Care Organization (PCO) using data analyticsDevelops customized, dynamic, reports and dashboards to track performance for the PCO relative to Value Based Contract Requirements for multiple payorsTracks market level Stars performance against measurement projections and goalsMaintains collaborative relationships with internal partners (Data Analytics, Performance and Trend, Clinical, Contracting, and Finance) Is a critical thinker who has initiative to manage multiple projects with resilience, flexibility, and a high level of independent thinking.Has experience in value-based care arrangements.Has strong written and verbal communication skills.
Use your skills to make an impact
 

Required Qualifications 

Bachelor's Degree in Business, Healthcare, or other relevant area2 or more years of healthcare data analysis experience (in the past 5 years) 1 or more years’ experience with tools such as SAS, Power BI, SSIS, Power Apps, Power Automate, Tableau, Qlikview and/or Microsoft Access  Experience with Running analysis, automating processes, creating dashboards, self-service tools, and/other data visualizations Comprehensive knowledge of Microsoft Office Applications including Word, and PowerPoint Understanding of metrics, trends and the ability to draw insights from provided data to identify gaps in strategy Experience in completing efficient analysis of data with associated conclusions and recommendations for improvement Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint

Preferred Qualifications

Master's Degree in Business Administration, Health Administration or a related fieldUnderstanding of CMS Stars, performance measures, HEDIS knowledge and experiencePharmacy management experienceSelf-starter with a high level of accountability and a strong desire to excel in a fast-paced, highly-demanding environment.Progressive experience in the health solutions industryPrior managed care experienceBackground working in quality improvementsProven organizational and prioritization skills and ability to collaborate with multiple departmentsData analysis, experience with relational databases

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 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 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.

 

$86,300 - $118,700 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 04-02-2026
About us
 About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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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.