Associate VP, Clinical Product & Strategy

Humana Inc; United States; Remote; USD 203,000 - 280,000; Full time

Job summary

Humana Inc. seeks an AVP, Clinical Product & Strategy to drive strategic direction for clinical programs across Medicare Advantage and Traditional Medicare populations served by CenterWell Home Health.

This remote leadership role will influence outcomes for 400,000+ patients across 37 states and translate priorities into scalable home-based care models. The incumbent will lead a ~20-person team, partner across Home, Pharmacy, Primary Care, and Humana to improve quality, risk adjustment, Stars

Qualifications

• Bachelor's degree in healthcare, business, or related field required.
• Minimum 10 years healthcare leadership experience.
• Minimum 7 years leading managers and professional teams.
• Ability to work remotely with Home/Hybrid/HomeOffice setup.

Responsibilities

• Set strategic direction for clinical programs and products.
• Lead a team of ~20 associates and partner across functions.
• Improve MA Stars performance and value-based outcomes.
• Drive cost reductions and avoidable costs reductions.

Skills

Strategic leadership

Value-based care

Stakeholder management

Cross-functional collaboration

Education

Bachelor’s degree in healthcare, business, or related field

Master’s degree preferred

Job description

Job Summary

The AVP, Clinical Product & Strategy will set the strategic direction for clinical programs and products that create measurable value for Medicare Advantage and Traditional Medicare populations served by CenterWell Home Health (CWHH). This work will directly impact the experience of more than 400,000 patients across the 37 states in which we operate. This leader will translate enterprise priorities into scalable home-based care models that improve quality, reduce avoidable medical costs, strengthen risk adjustment accuracy, and deepen member/patient engagement. Reporting to the VP, West Region President & Clinical Strategy, this role will lead a team of ~20 associates to partner across Home, Pharmacy, Primary Care, and Humana to identify opportunities, build business cases, launch pilots, and scale programs that support CWHH’s nationally scaled home health business and broader integrated care strategy.

Key Responsibilities

• Own MA value creation strategy: Develop the roadmap for clinical programs that improve HH and MA Stars performance, affordability, risk adjustment, and member outcomes.
• Oversee clinical program execution: Provide day-to-day oversight of strategic clinical programs, including performance management, issue resolution, and cross-functional coordination.
• Improve Quality and Stars performance: Lead gap closure and quality improvement efforts for CWHH populations, partnering with clinical, analytics, population health, and MA teams.
• Drive appropriate Home Health utilization: Expand appropriate use of Home Health services and demonstrate the associated network savings, member impact, and operational requirements.
• Reduce avoidable medical costs: Scale interventions that reduce hospitalizations, readmissions, emergency department utilization, and other avoidable costs.
• Advance member engagement and longitudinal care: Build programs that improve outreach, participation, adherence, and ongoing care management beyond a single Home Health episode.
• Expand high-risk member services: Identify and develop services for high-risk members outside the traditional Home Health episode, including new home-based care models and pilots.
• Improve ecosystem integration: Strengthen clinical integration across CWHH, PCO, Rx, and Humana through shared workflows, data, care pathways, and operating routines.

Desired Capabilities

Strategic, enterprise-oriented leader with strong clinical, Medicare Advantage, and value-based care acumen. Experience building, piloting, and scaling clinical programs with measurable quality, financial, and operational outcomes. Ability to lead through influence across matrixed teams, including clinical, operations, finance, analytics, population health, and payer partners. Strong command of Stars, utilization, medical cost, risk adjustment, documentation, member engagement, and care management dynamics. Demonstrated Knowledge/Skills Demonstrated ability to leverage strong financial acumen and strategic leadership to ensure area performance, sustainability, and compliance with organizational goals. Strategic, enterprise-oriented leader with strong clinical, Medicare Advantage, and value-based care acumen. Experience building, piloting and scaling clinical programs with measurable quality, financial, and operational outcomes. Ability to lead through influence across matrixed teams, including clinical, operations, finance, analytics, population health, and payer partners. Strong command of Stars, utilization, medical cost, risk adjustment, documentation, member engagement, and care management dynamics.

Qualifications

Bachelor’s degree in healthcare, business, or related field required; Master’s degree preferred, not required. A minimum of 10 years of progressive healthcare leadership experience A minimum of 7 years leading managers and professional teams Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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

$203,400 - $279,800 per year

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline

10-08-2026

About us

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.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.