Job Details
Director, Business Performance Management
**Become a part of our caring community and help us put health first**
Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and oversight of our operational performance management. Reporting to the Vice President of Operations, this role will be pivotal in ensuring operational efficiency, effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics, driving accountability, and fostering a culture of data-driven decision-making within the Operations function.
**Key Responsibilities:**
+ **Strategy Development and Execution:** Develop and implement a comprehensive business performance management and governance strategy for the Enterprise and Medicaid Segment Operations.
+ **Performance Framework Design:** Establish and maintain a robust framework for defining, measuring, and monitoring key operational performance indicators (KPIs) across all operational areas.
+ **Performance Monitoring and Reporting:** Oversee the collection, analysis, and reporting of operational performance data. Develop insights, highlight trends, identify areas for improvement, and track progress against targets.
+ **Accountability and Ownership:** Drive accountability for operational performance across different teams and functions. Establish clear roles and responsibilities related to performance management and governance.
+ **Data-Driven Decision Making:** Promote a culture of data-driven decision-making within operations by providing accurate and timely performance insights and facilitating data analysis to identify root causes and inform improvement initiatives.
+ **Risk Management and Compliance:** Collaborate with risk management and compliance functions to integrate risk considerations into performance management frameworks. Ensure operational processes adhere to relevant state regulations and internal policies.
+ **Continuous Improvement Integration:** Work closely with Process Improvement teams to ensure that performance data informs and prioritizes improvement initiatives. Monitor the impact of improvement efforts on key performance metrics.
+ **Operating Model:** Oversees the Medicaid Operating model, ensures appropriate use and controls changes to ensure ongoing alignment across the Medicaid segment.
+ **Stakeholder Management:** Partner effectively with senior operations leaders, finance, IT, and other relevant departments to align on performance goals, reporting requirements, and governance standards.
+ **Team Leadership and Development:** Build and lead a high-performing team responsible for business performance management and governance. Provide coaching, mentorship, and development opportunities to team members.
+ **Technology and Tools:** Evaluate and implement relevant technology solutions and tools to enhance performance monitoring, data analysis, and reporting capabilities.
**Use your skills to make an impact**
**?Required Qualifications**
+ Bachelor's degree in Business Administration, Health Policy & Management, Operations Management, Finance, Data Science, or a related field. Master's Degree preferred.
+ Minimum of 10-12 years of progressive experience in healthcare administration, health insurance, or consulting, with at least 5 years in a leadership role.
+ Proven track record of developing and implementing successful initiatives within an operations environment.
+ Strong understanding of key operational metrics and performance management methodologies.
+ Excellent analytical and problem-solving skills with the ability to interpret complex data and generate actionable insights.
+ Proficiency in data analysis tool (e.g., Excel, SQL, BI platforms like Tableau, Power BI).
+ Strong project management skills with the ability to manage multiple initiatives simultaneously.
+ Exceptional communication, presentation, and interpersonal skills with the ability to influence and collaborate effectively across all levels of the organization.
+ Demonstrated ability to lead and develop high-performing teams.
+ Knowledge of risk management principles and compliance requirements within an operations context.
**Preferred Qualifications**
+ Master's degree
**Additional Information**
+ **Workstyle:** Hybrid Home - This is a hybrid home position where employees primarily work from their home office, occasionally using company office space for collaboration and face-to-face needs.
+ **Location:** Work from home
+ **Typical Work Days/Hours** : Monday through Friday, 8:00 am - 5:00 pm EST.
+ **Travel:** 20%- in-person collaboration meetings, business conferences, etc.
**WAH Internet Statement**
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.
**Benefits**
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
+ Health benefits effective day 1
+ Paid time off, holidays, volunteer time and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Parental and caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
**HireView**
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.
**SSN Alert**
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.
$168,000 - $231,000 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 06-04-2025
**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.
?
**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.
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.
Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and oversight of our operational performance management. Reporting to the Vice President of Operations, this role will be pivotal in ensuring operational efficiency, effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics, driving accountability, and fostering a culture of data-driven decision-making within the Operations function.
**Key Responsibilities:**
+ **Strategy Development and Execution:** Develop and implement a comprehensive business performance management and governance strategy for the Enterprise and Medicaid Segment Operations.
+ **Performance Framework Design:** Establish and maintain a robust framework for defining, measuring, and monitoring key operational performance indicators (KPIs) across all operational areas.
+ **Performance Monitoring and Reporting:** Oversee the collection, analysis, and reporting of operational performance data. Develop insights, highlight trends, identify areas for improvement, and track progress against targets.
+ **Accountability and Ownership:** Drive accountability for operational performance across different teams and functions. Establish clear roles and responsibilities related to performance management and governance.
+ **Data-Driven Decision Making:** Promote a culture of data-driven decision-making within operations by providing accurate and timely performance insights and facilitating data analysis to identify root causes and inform improvement initiatives.
+ **Risk Management and Compliance:** Collaborate with risk management and compliance functions to integrate risk considerations into performance management frameworks. Ensure operational processes adhere to relevant state regulations and internal policies.
+ **Continuous Improvement Integration:** Work closely with Process Improvement teams to ensure that performance data informs and prioritizes improvement initiatives. Monitor the impact of improvement efforts on key performance metrics.
+ **Operating Model:** Oversees the Medicaid Operating model, ensures appropriate use and controls changes to ensure ongoing alignment across the Medicaid segment.
+ **Stakeholder Management:** Partner effectively with senior operations leaders, finance, IT, and other relevant departments to align on performance goals, reporting requirements, and governance standards.
+ **Team Leadership and Development:** Build and lead a high-performing team responsible for business performance management and governance. Provide coaching, mentorship, and development opportunities to team members.
+ **Technology and Tools:** Evaluate and implement relevant technology solutions and tools to enhance performance monitoring, data analysis, and reporting capabilities.
**Use your skills to make an impact**
**?Required Qualifications**
+ Bachelor's degree in Business Administration, Health Policy & Management, Operations Management, Finance, Data Science, or a related field. Master's Degree preferred.
+ Minimum of 10-12 years of progressive experience in healthcare administration, health insurance, or consulting, with at least 5 years in a leadership role.
+ Proven track record of developing and implementing successful initiatives within an operations environment.
+ Strong understanding of key operational metrics and performance management methodologies.
+ Excellent analytical and problem-solving skills with the ability to interpret complex data and generate actionable insights.
+ Proficiency in data analysis tool (e.g., Excel, SQL, BI platforms like Tableau, Power BI).
+ Strong project management skills with the ability to manage multiple initiatives simultaneously.
+ Exceptional communication, presentation, and interpersonal skills with the ability to influence and collaborate effectively across all levels of the organization.
+ Demonstrated ability to lead and develop high-performing teams.
+ Knowledge of risk management principles and compliance requirements within an operations context.
**Preferred Qualifications**
+ Master's degree
**Additional Information**
+ **Workstyle:** Hybrid Home - This is a hybrid home position where employees primarily work from their home office, occasionally using company office space for collaboration and face-to-face needs.
+ **Location:** Work from home
+ **Typical Work Days/Hours** : Monday through Friday, 8:00 am - 5:00 pm EST.
+ **Travel:** 20%- in-person collaboration meetings, business conferences, etc.
**WAH Internet Statement**
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.
**Benefits**
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
+ Health benefits effective day 1
+ Paid time off, holidays, volunteer time and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Parental and caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
**HireView**
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.
**SSN Alert**
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.
$168,000 - $231,000 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 06-04-2025
**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.
?
**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.
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.
Job #NLX277094644