Associate VP, Clinical Program and Product Strategy

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $184.8k - $254.1k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Vice President

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Develop and execute enterprise-wide clinical strategies to improve member health outcomes • Lead the full lifecycle of clinical program and product design, from concept and pilot design through launch and scaling • Maintain strategic oversight of scaled programs to ensure continuous improvement and sustained impact • Lead digital health partnerships strategy and execution • Lead Stars clinical strategy and interventions for key HEDIS measures, including GSD, CBP, and Care Coordination • Lead specialty strategy in high-cost specialties including oncology, cardiovascular, musculoskeletal, and kidney care • Evolve the long-term approach to integrated clinical products based on member needs • Lead the team and collaborate with business leaders, clinicians, product managers, analytics, engineering, and design teams • Develop strategies for complex clinical programs with multidisciplinary enterprise partners • Coordinate enterprise-wide efforts around high-value opportunities and cross-team synergies • Design, test, and scale cross-functional approaches that improve member experience, clinical outcomes, and cost of care • Build repeatable capabilities and operating models • Provide strategic input, updates, and presentations to enterprise-wide forums • Influence senior Humana decision-makers on opportunities to improve health, lower costs, and improve experience • Exercise independent judgment and decision-making on complex issues

🎯 Requirements

• MD or DO degree • 10+ years of strategy and operations development and implementation experience for healthcare-related organizations • Clinical operations experience and expertise • Deep understanding of care delivery across payers and providers, especially the intersection between them • Product experience managing multidisciplinary teams including analytics, engineering, design, and clinical roles • Strong business and/or consulting experience • Solid business and financial acumen • Experience with analytics and use of data • Experience leading cross-functional teams to execute complex projects • Process improvement experience • Ability to influence, establish, and drive improved business outcomes • Ability to lead a diverse group toward a common vision with proven results in motivation, engagement, and goal attainment • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Wellness and smart healthcare decision support benefits