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Role Description

The Senior Program Delivery Professional role requires an in-depth evaluation of variable factors that will drive process improvements and optimize delivery for maximum impact.

• Supports business operations for provider programs by ensuring smooth transitions, accurate reporting, process improvements, and effective stakeholder collaboration.
• Responsible for monitoring, troubleshooting, and resolving issues across multiple platforms.
• Supports training and onboarding efforts and contributes to data-driven decision-making.
• Works cross-functionally with internal and external teams to optimize operational effectiveness, compliance, and provider engagement.
• Serves as the primary contact for business operations support for Point of Care Alerts (POCA) for the aligned EHR.
• Assists with POCA alert interpretation, enhancements, troubleshooting, and issue resolution collaborating with IT and data informatics teams.
• Coordinates with stakeholders to update and maintain key communications, materials, reports, and dashboards, ensuring accuracy.
• Comfortable explaining findings, insights, and recommendations to other teams and/or leadership to drive next steps.
• Establishes and maintains efficient communication channels, supports mailbox management, and facilitates cross-team workflow organization.
• Monitors operational reports for program effectiveness and recommends program improvements based on data insights.
• Ensures adherence to organizational operating policies, procedures and compliance requirements.
• Supports POCA program process documentation and operational readiness for accuracy and completeness.

Qualifications

• Bachelor’s degree in business, Healthcare Administration, Information Systems, or related field preferred.
• 2+ years prior demonstrated experience driving operational program improvements.
• Experience with business process, provider operations, program delivery, or project management within a healthcare environment.
• Strong analytic skills and ability to use data to drive improvement activities.
• Experience presenting to mid-level leadership.
• Comprehensive knowledge of all Microsoft applications, including Word, Excel, and PowerPoint.
• Strong organizational and prioritization skills with the ability to manage multiple priorities, adapt to change, and collaborate effectively across teams.

Requirements

• Medicare Risk Adjustment and/or Stars Quality experience preferred.
• Experience with Electronic Health Record (EHR) systems preferred.
• Six Sigma or Lean certification preferred.
• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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

03-10-2026