Humana
Albany, NY
Become a part of our caring community We are looking for a dynamic Strategy Execution/Advancement Principal for Care Coordination to develop clinical solutions for our members and providers, with full accountability from strategy to execution. The Principal for Stars Care Coordination, Provider Strategy is responsible for developing, executing, and optimizing strategies that engage hospital systems and provider groups to improve performance on key Stars Care Coordination measures. The role will design and implement financial incentive programs targeted at reducing Plan All-Cause Readmission rates and enhancing provider performance on metrics such as Post-Discharge Physician Visit Rate (PCR), Follow-Up after Mental Health Hospitalization (FMC), and Timely Receipt of Care (TRC). Additionally, the incumbent will support performance management initiatives to drive measurable improvements across both hospitals and provider networks. Key Responsibilities: Lead the...

