Stars Improvement Principal, Integrated Plans

Become a part of our caring community and help us put health first The Stars Improvement Principal, Integrated Plans, is responsible for developing, owning, and managing the Stars enterprise strategy for new integrated Dual Eligible Special Needs Plans (D-SNPs). This leader will play a critical role in driving Stars performance and improving quality outcomes for our members by aligning stakeholders across the organization and ensuring execution of strategic initiatives. The ideal candidate is a highly skilled strategist with deep expertise in Medicare, Medicaid, and Stars programs, and has a proven record of cross-functional leadership in a matrixed environment. Key Responsibilities: + Develop and execute the integrated D-SNP Stars contract and improvement strategy, effectively communicating vision and priorities to create alignment and inspire action across the enterprise + Lead and influence key enterprise stakeholders, including Market Leadership, Product, Compliance, Medicaid, and Stars teams, to consensus on contract strategy and Stars performance improvement efforts + Analyze and interpret data on contract performance, market trends, and membership sub-populations, using insights to shape strategic recommendations and educate leadership + Recommend and influence contract structures and consolidations to optimize Stars performance and respond to future market needs + Conduct ongoing market research to monitor changes in the Medicare and Medicaid landscapes, ensuring strategies are responsive to industry trends and competitor activity + Establish and track key performance indicators for strategy success, making data-driven adjustments as needed + Serve as an advanced subject matter expert on integrated D-SNPs, Medicare Stars, and related regulatory requirements, providing strategic guidance to teams across the organization + Foster a culture of accountability and continuous improvement in Stars performance through strong collaboration and relationship-building Use your skills to make an impact Required Qualifications: + Bacheloru2019s degree in Healthcare Administration, Business Administration, or related field or equivalent experience + 10+ years of experience in healthcare strategy, contract management, or market finance roles + 2+ years of proven cross-functional leadership experience + Deep understanding of Medicare and Medicaid regulations, reimbursement methodologies, and industry trends + Strong analytical and data interpretation skills, with the ability to translate insights into actionable strategies + Exceptional communication, presentation, and negotiation skills + Demonstrated track record of influencing leaders and driving improvement initiatives in a matrixed organization + Advanced proficiency in Microsoft Office applications (Word, Excel, PowerPoint) and business intelligence tools Preferred Qualifications: + Masteru2019s degree + Experience with Medicare Stars, HEDIS, or D-SNP programs + Background in strategic consulting Additional Information: Humana is an organization with careers that change livesu2014including yours. As an innovator in the fast-paced healthcare industry, we offer associates careers that challenge, support, and inspire them. If you are ready to help people achieve lifelong well-being and make an impact on the future of healthcare, Humana has the right opportunity for you. 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. $138,900 - $191,000 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, u201cHumanau201d) 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: 02-13-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first u2013 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 u2013 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. u200b 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

Created: 2026-02-06