Strategy & Operations Lead - Clinical Outcomes

Become a part of our caring community We are looking for a dynamic Strategy & Operations Lead to develop clinical solutions for our members and providers, with accountability from strategy to execution. Location: remote anywhere in the US The Strategy & Operations Lead will work across clinical initiatives focused on improving outcomes for members with chronic conditions such as Congestive Heart Failure (CHF), hypertension, and diabetes. The Strategy & Operations Lead will work on diverse and complex problems by bringing their own contributions together with other key stakeholders from across the enterprise and leading end-to-end strategy development and operationalization for top priorities. Key responsibilities may include but are not limited to: Best Practice Identification and Translation: Engage with high-performing and low-performing provider groups to understand clinical workflows and operational drivers that contribute to better chronic condition management. Translate insights into best practices and operational playbooks. Drive and synthesize insights across Clinical Analytics, member research, and provider research to inform the strategic roadmap and execution priorities. Product & Insight Development and Execution: Co-develop and drive the execution of direct-to-member interventions to improve chronic condition management. Lead the design and refinement of provider-facing data views (dashboards, insights, performance summaries) to ensure they are actionable, timely, and aligned to provider workflows. Co-develop and support the execution of interventions to address key barriers for providers (PCPs and specialists). Work with enterprise partners (e.g., care management, clinical programs, analytics) to ensure alignment and remove operational barriers to member and provider adoption. Synthesize complex clinical, operational, and analytic information into clear recommendations for executive leadership. In general, the Strategy & Operations Lead – Clinical Outcomes will: Engage in an ambiguous problem solving and strategy setting Use data and insights from experts to identify the greatest opportunities in clinical outcomes, quality, cost, and experience for members and providers Lead cross-functional teams to define discrete opportunities that are both impactful and achievable Work directly with cross-functional partners across the enterprise to create the operationalization models, test and learn strategies, performance management strategies, and roadmaps to execute on prioritized opportunities Lead or support implementation of initiatives in partnership with internal or external teams. Use your skills to make an impact Role Essentials Bachelor’s degree 7 or more years of experience in population health strategy, health outcomes strategies and/or product strategy OR 3 years of management consulting with additional 2-3 years of professional work experience Experience in strategy consulting, business strategy, clinical, product, and/or operations areas Direct people leadership and/or experience leading others by influence Ability to interpret and leverage data and analytics to improve strategy and make recommendations Strong communication skills both verbal and written, with ability to flex to different audiences, including senior leadership Proven skills influencing others and a track record of success leading through ambiguity Proven organization, planning and prioritization skills to collaborate with multiple enterprise departments and stakeholders; ability to execute within deadlines Ability to work independently to manage projects to achieve objectives Competency with Microsoft Office suite (PowerPoint, Excel) Role Desirables Master’s level degree Clinical background (MD, RN, RPh, etc.) preferred Advanced degree in relevant field or MBA Exposure or experience with clinical care delivery and interventions Additional information To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from View email address on click.appcast.io with instructions on how to add the information into your official application on Humana’s secure website. 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. $151,600 - $208,400 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, “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. About Us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 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.