Clinical Operations Lead

Humana; Teletrabalho; BRL 634.000 - 873.000; Tempo integral

Resumo da oferta

A leading healthcare provider is seeking an experienced Clinical Operations Lead to drive quality improvement and implement innovative clinical programs. This role involves collaborating with senior leaders and providers to enhance operational efficiency in a remote-friendly environment. Candidates should have over 5 years of experience in healthcare operations, possess strong organizational skills, and be capable of working independently. The position comes with competitive benefits and a salary range of $115,200 – $158,400 annually.

Serviços

Health benefits effective from day 1

401(k) retirement savings plan with employer match

Tuition assistance

Qualificações

• 5+ years of experience in healthcare consulting or clinical operations.
• Strong understanding of telehealth regulations.
• Ability to work independently in fast-paced environments.

Responsabilidades

• Design and implement programming for quality care.
• Act as escalation point for clinical operations.
• Analyze performance data for continuous improvement.
• Lead provider activation and support license expansion.

Conhecimentos

Organizational skills

Project management

Communication

Data analysis

Formação académica

Bachelor's degree

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Become a part of our caring community and help us put health first

Humana’s CenterWell Senior Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country. CenterWell Medical Group is the newest line of business under the CenterWell umbrella, providing virtual wraparound services to a broad population of members who need it the most.

We’re a fast-growing organization changing how clinical care is delivered—using innovation, data, and technology to keep patients healthier. Our team is mission-driven, collaborative, and unafraid to challenge the status quo in healthcare.

About the Role

We’re seeking a Clinical Operations Lead for CenterWell Medical Group who brings energy, creativity, and a bias toward action in transforming healthcare. This is a hands‑on role for someone who loves to take big ideas and turn them into tangible results. Reporting directly to the Chief Medical Officer, this role will design, implement, and optimize clinical programs that drive quality, efficiency, and impact.

The ideal candidate is an operational expert and is eager to be on the forefront of healthcare innovation. This role works closely with senior leaders, providers, operations, and technology teams to bring new care models to life—translating strategic vision into daily practice.

They have deep expertise in clinical operations, including understanding the patient and provider experience. They thrive in a fast‑paced environment, enjoy problem‑solving, and are not afraid to roll up their sleeves.

Job Title

Clinical Operations Lead

Location

Remote, USA with preferred locations in Boston, MA or Washington, DC

What You’ll Do

• Design and implement programming to support quality care, focusing on end‑to‑end operations and driving projects to completion (ex. Diabetes management program)
• Act as a clinical operations escalation point for key internal stakeholders
• Analyze performance data and develop frameworks for continuous improvement processes, including how to prioritize with business objectives in mind
• Drive continuous improvement across quality, safety, and provider experience
• Lead provider activation workstream – support license expansion, collaborative requirements, chart reviews, and cross‑collaboration with legal, credentialing and technology stakeholders
• Standardize and optimize workflows across clinical onboarding and training
• Partner with business operations, technology partners, and subject matter experts to collaborate on business initiatives that support clinical workflows and provider performance

Requirements

• Bachelor’s degree
• 5+ years of experience in healthcare consulting, clinical operations, or a similar role
• Experience working in innovative or rapidly scaling healthcare environments
• Strong organizational and project management skills with a focus on execution and outcomes
• Understanding of telehealth and healthcare regulations, with a compliance mindset
• A clear communicator who builds trust and alignment across clinical and non‑clinical teams
• A data‑informed operator who can develop and execute new clinical programming while maintaining stakeholder alignment
• Ability to work independently in a fast‑paced, remote‑friendly environment
• Must be able to travel as needed about 10%
• Advanced Microsoft Office skills

Preferences

• Master’s degree
• Clinical background preferred (RN, Pharmacist, NP, etc.)
• Startup or digital health experience a plus
• Virtual care or value‑based care experience
• Experience implementing quality programs that focus on clinical outcomes
• Remote, USA with preferred locations in Boston, MA or Washington, DC

Use Your Skills to Make an Impact

Humana values personal identity protection. 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 [e-mail] with instructions on how to add the information into your official application on Humana’s secure website.

Interview Format – HireVue

We will be using HireVue technology to enhance our hiring and decision‑making ability. HireVue allows us to quickly connect and gain valuable information from you at a time that is best for your schedule.

Benefits

Humana offers a variety of benefits to promote the best health and well‑being of employees and their families. We design competitive and flexible packages to give employees a sense of financial security.

• Health benefits effective day 1
• Paid time off, holidays, volunteer time, and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities
• Short‑term and long‑term disability
• Life insurance

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. $115,200 – $158,400 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.

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.

Travel

While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.