Principal, Medicare Advantage Growth Strategy (Remote)

Join our dedicated team and make a difference in healthcare! The Principal, Medicare Advantage Growth Strategy will lead the charge in crafting, executing, and overseeing the growth strategy crucial to the success of our Stars Program. This pivotal role requires strategic guidance to various functional teams, leveraging your extensive expertise in the field. At HQRI, we are committed to improving health outcomes and enhancing care experiences for our members and provider partners through integrated risk adjustment (RA) and quality (Stars) solutions. Our mission is to empower our members, providers, and Humana with exceptional healthcare services. The CMS Stars quality rating system assesses Medicare Advantage and Prescription Drug Plans using approximately 40 measures that include preventive care, health management, outcomes, patient experience, and operational efficiency. As a Principal, you will drive the development and acceleration of an inclusive contract offering and membership growth strategy to position Humana as a frontrunner in Stars performance and member acquisition. This high-impact role will involve coordinating a cross-functional workgroup to establish and prioritize strategic plans for Humana's current and future offerings. Your enthusiasm for healthcare quality, coupled with a comprehensive understanding of interconnected enterprise functions, will propel our success. You will play a key role in influencing leaders throughout the organization, nurturing shared accountability for strategic enhancement and Stars performance. Key Responsibilities: Formulate and oversee the Stars enterprise contract growth strategy, ensuring effective communication to foster alignment and motivate action. Collaborate with stakeholders, including Market Leadership and Product Compliance, to achieve consensus on growth strategies aimed at maximizing Stars performance. Analyze performance metrics and educate market leadership to shape growth considerations, including Group membership requirements. Advocate for new contracts or necessary consolidations that align with future strategic goals. Conduct thorough market research to stay updated on the Medicare landscape, trends, and competitor strategies to inform growth initiatives. Establish key performance indicators to track the success of growth strategies, making data-driven adjustments as necessary. This role may require occasional in-office meetings in Louisville for training or collaborative sessions. Qualifications: Bachelor's Degree in Healthcare Administration, Business Administration, or equivalent experience. 10+ years of experience in healthcare strategy, contract management, and/or market finance. 2+ years of cross-functional leadership experience. In-depth knowledge of Medicare regulations and reimbursement methods. Strong analytical skills with the ability to translate data into actionable strategies. Exceptional communication, presentation, and negotiation skills. Proven success in storytelling, influencing leaders, and advancing initiatives in a matrixed organization. Proficient in Microsoft Office applications and business intelligence tools. Preferred Qualifications: Master's degree. Experience with Medicare Stars or HEDIS. Background in Strategic Consulting. Additional Information: Humana offers transformative career opportunities that can change lives, including yours. As a leader in the evolving healthcare industry, we present roles that challenge and inspire our employees to channel their passion for serving others. If you are excited about joining us to empower individuals in achieving lifelong well-being, we have the perfect opportunity for you. Travel: While this position is primarily remote, there may be occasional office visits for meetings. Scheduled Weekly Hours: 40 Compensation: The base salary range is estimated between $138,900 - $191,000 annually, depending on experience and qualifications. This role is also eligible for a performance-based bonus incentive plan. Benefits: Humana provides competitive benefits that support our associates' well-being and that of their families, including medical, dental, and vision coverage, a 401(k) plan, paid time off, and initiatives to promote work-life balance. Application Deadline: 02-13-2026 About Us: Humana Inc. is committed to prioritizing health for our teammates, customers, and throughout our organization. Through our comprehensive insurance and healthcare services, we aim to make health services accessible for everyone, enhancing the quality of life for diverse communities. Equal Opportunity Employer Humana prohibits discrimination in employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status. We strive to uphold affirmative actions for individuals with disabilities and underrepresented veteran statuses.

Created: 2026-03-11