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

Humana seeks a strategic and results-driven Provider Optimization Health Outcomes Survey (HOS) Program Delivery Lead to provide guidance, support, and relationship management to key provider partners on HOS measures and patient experience. This position is also responsible for collaborating with network and provider rewards teams to develop and execute strategies to support HOS score improvement. The tactics developed under this role create a clear and streamlined approach for provider partners to identify high priority providers, how to implement available practice transformation resources, and effective communication strategies. The successful candidate will collaborate cross-functionally to translate stakeholder requirements into actionable provider strategies and ensure alignment with enterprise goals, as well as be passionate about contributing to an organization focused on continuously improving health outcomes and patient experience.

Location: remote

The Provider Optimization HOS Program Delivery Lead will work to develop a provider engagement strategy that delivers performance improvement for healthcare outcomes and patient experience within our Medicare population. This role will lead execution of tactics, collaborative development of engagement strategy, status updates to leadership, and results of programs and their impact to results on the Medicare Health Outcomes Survey and patient experience. This role will advise executives and senior leadership to develop functional strategies that broadly impact the Medicare Stars program. This role will also develop and deepen partnerships with provider-facing teams to drive performance management efforts to new heights.

Key Responsibilities:

• Establish forums for relationship partners that allows for effective communication and updates

• Develop and drive accountability of provider facing core metrics across the enterprise

• Innovate and reinforce HOS elements of the patient experience program

• Develop and maintain process for evaluating network (primary care and behavioral health) accessibility opportunities and impacts to measures

• Evaluate and define HOS incentives in partnership with leadership teams with clear recommendations

• Refine, enhance, and implement materials & resources that support providers throughout the year

• Implement regular performance reporting

• Develop and deliver training to business partners that explain change management strategies, HOS program resources, incentives, and set expectations for goals and metrics on performance

• Engage provider-facing teams on high priority providers and drive performance accountability

• Develop and implement new mental and physical health initiatives to support increased weighting of improving and maintaining mental and physical health measures

Use your skills to make an impact

Required Qualifications

• Bachelor’s degree in business administration, healthcare administration, healthcare management, or public health or any field

• Minimum 7 years of direct experience in healthcare, patient experience, provider engagement, and/or Medicare Stars Quality

• Provider experience and/or previous provider facing role

• Demonstrated success in relationship management, performance improvement, education & support, problem-solving, conflict resolution

• Excellent communication, leadership, influence, and stakeholder management skills

• Proficiency with Microsoft Office

​Preferred Qualifications

• Master’s degree

• Pharmaceutical & Healthcare Marketing MBA

• Certified Patient Experience Professional

• Experience with value-based care

• Experience with Medicare CAHPS and/or HOS

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.

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 you.

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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

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.

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: 10-25-2025

About us

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.

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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.