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The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning support for business segments and the company at large. The Director, Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization capabilities interrelate across the function or segment.The risk adjustment strategy and operations team is looking for a seasoned leader to lead strategic planning and business management for the team. The primary objective of this leader is to ensure that the risk adjustment organization can effectively balance competing priorities and will drive substantial progress against both short- and long-term strategic goals. This leader will also be responsible for leading strategic ad-hoc teams and projects that require enterprise activation and collaboration
Key Responsibilities
- Strategic annual planning support – Collaborate with senior team members to determine and prioritize business strategies. Coordinate with leadership to complete vision / mission / goals and articulate of strategic priorities. Shape the team’s vision, principles, and other far-reaching strategy documents. Coordinate dependencies and other inter-related efforts across teams (especially when priorities conflict), and facilitating work by ensuring teams have the resources they need.
- Establish Operating Rhythm & Foster Innovation - Establish, document, and mature repeatable processes for critical business functions that occur on a regular cadence like budget planning, strategic planning, headcount planning. Plan and execution tempo of financial and operational support forums, including frequent updates to the newly established transformation office. Design and deploy processes that foster ideation and innovation across the enterprise.
- Internal and executive communications - Compile regular updates on business activities to generate cross-team awareness. Plan team huddles, leadership team meetings, and other cross-team events. Establish, shaping, debugging, and socializing, organizational culture, values, and behavioral expectations. Partner with associate experience, change management, communication, and other teams to leverage their expertise as appropriate.
- Leadership effectiveness - Serve as a formal and informal gatekeeper to ensure that the SVP is spending their time on the right things. Help leaders carry out the team’s vision and strategic intent. Prepare meeting agendas, planning team off-sites, establishing communication patterns and cadences, fostering better interpersonal dynamics, etc. Identify opportunity areas and proactively resolve them.
- Portfolio management – Assisting the SVP and leadership team to help ensure strategic alignment across the diverse set of operational and financial teams. Create structure to assist in properly prioritizing initiatives/projects that align with strategic objectives, identify tradeoffs and making recommendations to leadership on selection to ensure the business is working on the right things.
- Monitoring and evaluating organizational progress – Work with team leadership to define, align and track success metrics. Identify gaps and make recommendations for improvement. Establish, operate, and improve the systems that capture, track, and regularly report on work in flight, especially strategic or other cross-functional initiatives, to ensure situational awareness at all levels. Presenting recommendations to mitigate risks and resolves conflicts.
- Stakeholder management - Preparation assistance with significant meeting forums (Meet Weeks, Management team meetings, Town halls). Builds relationships with key stakeholders around the organization; solicits feedback and outside-in perspective on org performance. Facilitates meetings with senior leaders; brings together key leaders to drive decisions.
- Risk management – Create awareness for leaders of arising or unanticipated problems or opportunities and supporting the leadership team in resolving issues.
- Day-to-day leadership support - In addition to strategic and longer-term planning support, assist with day-to-day support in topics such as associate engagement, team huddles and follow-ups, conference planning and support, talent and rotation planning, peer-review organization, town halls and preparing the SVP for speaking engagements.
Use your skills to make an impact
Requirements
- 10 or more years of project progressive scope and/or leadership experience with relevant experience, preferably in the healthcare sector
- Demonstrated ability to collaborate effectively with cross-functional teams to achieve shared goals
- Proven experience presenting complex information to executive-level leadership with clarity and confidence
- Strong business and financial acumen, with a track record of applying insights to drive strategic decisions
- Proficient in Microsoft PowerPoint, Word, and Excel, with a history of creating impactful presentations and reports
- Demonstrated ability to influence stakeholders and navigate ambiguity to deliver successful outcomes
- Self-starter with a proven ability to work independently and communicate effectively across all organizational levels
- Demonstrated success in fast-paced, dynamic environments; adaptable, resilient, and comfortable with change
Role Desirables
- Bachelor’s degree
- Experience leading teams
- Executive communications experience both written and verbal
Additional Information
Work-At-Home Requirements
- WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
- A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
- Satellite and Wireless Internet service is NOT allowed for this role.
- A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay 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 yearThis 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: 07-30-2025
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.
