Kelly Hart Guess

Senior Strategy Advancement Professional @Humana

Louisville, KY, US

Humana | Louisville, KY | 2020 – PresentIndustry: Insurance Carriers• Lead enterprise-level transformation initiatives across Medicare Advantage and Group Medicare segments, aligning strategic goals with operational execution and cross-functional collaboration.• Supported the annual pricing and benefit setup process for 750+ Medicare Advantage plans, partnering with actuarial, product, and market teams to ensure seamless deployment.• Collaborated with Microsoft and internal stakeholders to explore Power Platform solutions, identifying automation opportunities to streamline benefit pricing and enhance scalability.• Project-managed Humana’s Value-Based Insurance Design (VBID) Model application, resolving operational challenges outside the standard Medicare Advantage bid process.• Partnered with senior leaders to redesign and gain approval for a new internal process under a competitive CMS scoring system—resulting in a successful application and continued program participation (e.g, Healthy Foods Card).