Become a part of our caring community The Innovation Portfolio Strategy Advisor reports to a Behavioral Health portfolio director and drives the product lifecycle for assigned products within that portfolio. You will accomplish the product strategy developed by the portfolio director by translating strategy into actual product delivery. The Portfolio Strategy Advisor works across departments to form colleague teams that can support overall delivery of a product, sets prioritization, maintains alignment of effort, and owns delivery. The Innovation Portfolio Strategy Advisor is responsible for advancing Humana's behavioral health network quality and access across both Medicare Advantage (MA) and Medicaid ( MCD ) LOBs. This position will focus on developing and executing strategies to enhance provider performance, ensure true network access, and drive value-based initiatives that improve care quality and member outcomes. Key Responsibilities +

Network Access Monitoring:

+ Establish and maintain real-time insights into general behavioral health (BH) network access and BH specialty areas access-including Substance Use Disorder ( SUD ), Autism Spectrum Disorder ( ASD ), and Dementia-across both MA and MCD . +

Provider Performance Measurement:

+ Develop, implement, and manage provider scorecards and tiering systems to assess and differentiate provider performance and quality. +

Cross-functional Collaboration:

+ Partner with MA and MCD network teams, MA network adequacy team, and market leadership teams to use network data and provider performance metrics for continuous improvement of network quality and efficiency. +

Value-Based Initiatives:

+ Launch and lead Pay-for-Performance (P4P) projects for MA providers. Support and expand ongoing P4P programs within MCD , driving provider engagement and improved member outcomes. +

Provider Relationship Management:

+ Manage Joint Operating Committees (JOCs) and sustain ongoing relationships with large provider groups. You will be the contact for issue resolution, troubleshooting, and strategic partnership development. Use your skills to make an impact Role Essentials + Bachelor's degree in healthcare, business, or related field + 7+ years' experience in network strategy, provider relations, or behavioral health management within a managed care setting + Experience in pediatric mental health + Skilled in developing strategic partnerships and engaging with internal and exte To view full details and how to apply, please login or create a Job Seeker account