The Program Delivery Lead will work with the Primary Care Organization (PCO)’s National Director of Behavioral Health (BH) Strategy and Operations and the Tandem Care Medical Director at CenterWell at The Villages (CTV) to oversee operations, performance management, and future state strategy for the Tandem Behavioral Health Care program. Tandem Care is an in-house Collaborative Care model serving patients with behavioral health needs through an interdisciplinary team-based model that includes PCPs, LCSWs, psychologists, psychiatrists and other clinical and supporting staff. It is currently based in the Villages, Florida. This role will report to the PCO’s Director of BH Strategy and Operations.
The Program Delivery Lead works on problems of diverse scope and complexity ranging from designing program operations and improvements, developing analytical performance management processes and dashboards, addressing day-to-day execution and challenges, and supporting the operational needs of the program’s clinical leadership. The Program Delivery Lead will partner with various leaders, including the Tandem Care Program’s Medical Director, regarding implementation, planning, and execution of the programs. The Program Delivery Lead will exercise independent judgment and decision making to drive job duties and related tasks, demonstrate end-to-end ownership and attention to detail, bring a high caliber of analytic rigor, and have an internally self-motivated working style, feeling confident to drive work autonomously.
This is a critical role requiring an ownership mindset that can manage multiple processes end-to-end in parallel in close collaboration with many functional and clinical teams. The successful candidate will carry out the following duties and responsibilities:
Major Duties and Responsibilities
- Owns design and support of Tandem Care operations, execution, and improvement.
- Monitors progress and performance against program objectives. Includes the ability to be forward-thinking while not losing sight of immediate priorities.
- Owns, designs, and executes analytics related to budgets, forecasts, KPIs, technology enablement and integrations. Includes ownership of program dashboard and executive-level performance reporting.
- Owns business partner design of technical products that support the nears of Tandem Care and PCO clinicians and works in close collaboration with PCO product teams to deliver
- Establish collaborative relationships and work with strategic key stakeholders, including clinical teams, technology and data analytics leaders, and Complex Care leadership to support program and project implementation and facilitate adoption of new strategies and tactics.
- Manages special projects at the request of National BH Director on an ad-hoc basis to support needs across range of topics, including operations and processes.
Use your skills to make an impact
Required Qualifications
- Bachelor’s degree in a relevant field (e.g. health care administration, business administration, social work)
- 5+ years experience in healthcare strategy and operations, including in health-related product, IT, analytics, preferably in value-based care or behavioral health
- 5+ years of cross-functional translation tooling experience (e.g., sitting between clinical leadership team and hands-on-keys product development team)
- Experience in developing performance dashboards – specifically defining metric definitions, collaborating with analytics and tech teams to implement dashboards, and performing metric quality checks - and defining product feature specifications
- Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to optimize system-level processes and build meaningful relationships across stakeholders
Preferred Qualifications
- Experience working in behavioral health care or value-based care settings (Collaborative Care experience ideal)
- Exposure and experience working with EMR platforms (e.g., Athena)
- Master’s degree in health care administration, business administration, nursing, social work, or a related field.
- Reside in the Villages, FL metro area
Knowledge/Skills/Abilities/Competencies Required
- Strong analytical and problem-solving skills with the ability to develop and implement metrics to measure the effectiveness of care transitions.
- Proficiency with Excel (e.g., Pivot tables, analytic models) and Powerpoint
- Excellent communication and interpersonal skills with the ability to communicate effectively with stakeholders at all levels.
- Proficiency in tracking and evaluating process/system outcomes and performing and monitoring rapid cycle process improvement, including in defining and measuring KPIs.
- Excellent project and program management skills
- Understanding of quality and value drivers in full risk care delivery, ideally in Medicare/seniors
- Demonstrated ability to work collaboratively with clinical and operational leaders across a complex health care organization.
- Ability to multi-task in a fast-paced work environment
- Excellent organizational skills
- Ability to independently manage projects and maintain timelines for completion
- Compassion and desire to advocate for patient needs
- Computer skills in word processing, database management, spreadsheets, and report writing
Working Conditions
For candidates located in The Villages metro, this is a hybrid position, with flexibility to work remotely from home for up to 3 days a week and the expectation to be in-person in The Villages 2 days a week.
This role does not require residency in The Villages, FL. Candidates located outside of The Villages will be expected to travel to The Villages approximately every other week for in-person meetings, collaboration, and business needs. Candidates should be located within a distance that allows for sustainable travel on this cadence.
Work-At-Home Requirements
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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
