Associate VP, Clinical Program and Product Strategy

Humana Inc; Austin (TX); Remote; USD 185,000 - 254,000; Full time

Job summary

Humana Inc. seeks an AVP, Clinical Program and Product Strategy to lead cross-functional initiatives that improve member health outcomes and cost efficiency. The role translates clinical priorities into pilots and scales successful programs across the enterprise.

You will oversee clinical strategy, product design, and implementation in collaboration with analytics, engineering, and clinical teams, while presenting at enterprise-wide forums and influencing leadership decisions.

Qualifications

• MD or DO degree required.
• 10+ years of strategy and operations experience in healthcare.
• Experience leading multidisciplinary teams (analytics, engineering, design, clinical).

Responsibilities

• Drive enterprise-wide clinical strategy and value across Humana.
• Lead clinical program and product design, pilots, and scaling.
• Oversee digital health partnerships, Stars strategy, and high-cost specialties.
• Shape integrated clinical products to improve outcomes and cost.
• Collaborate with business leaders, clinicians, analytics, engineering, and design.
• Present updates to enterprise forums and influence senior decision-makers.
• Exercise independent judgment on complex issues.

Skills

Strategy & operations

Clinical operations

Product design & management

Cross-functional leadership

Data analytics

Education

MD or DO degree

Job description

Become a part of our caring community

Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. Consumers expect more personalized and holistic experiences from their health partners. Humana is committed to innovation to create new approaches and optimize existing assets to improve member experiences and health outcomes through better integrating Humana's clinical capabilities, processes, and technology. This role will be instrumental in defining and executing on the vision of our transition to being a more health outcomes-oriented organization that also strengthens the financial performance of the business in partnership with leaders and teams across Humana.

The AVP, Clinical Program and Product Strategy is a senior leadership role at the center of this transformation. This leader will design, test, and scale new cross-functional approaches to clinical programs and products that measurably improve the experience, clinical outcomes, and total cost of care for our members. Working at the intersection of clinical strategy, product, and operations, the AVP will translate ambitious clinical priorities into pilots, launch them with rigor, and scale what works across the enterprise.

This is a challenging, highly visible role that demands the ability to navigate ambiguity, align many stakeholders around a shared vision, and deliver results in a complex, matrixed environment. It is also one of the most impactful roles on the team as it directly shapes how Humana improves health outcomes and lowers costs for millions of members.

Our team within Clinical Innovation & Trend employs a rigorous process to set specific clinical priorities for the enterprise, identify the greatest sources of value, and lead a multi-disciplinary process to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience. The AVP, Clinical Program and Product Strategy will lead a substantial portion of this work as they own the end-to-end journey from clinical strategy through program and product design, implementation, and scaling.

Use your skills to make an impact

Responsibilities include

• Drive enterprise-wide clinical strategy: play a leadership role on a team that develops and executes on enterprise-wide clinical strategies that drive improved health outcomes for our members.
• Lead clinical program and product design, implementation, and scaling by owning the full lifecycle from concept and pilot design through launch, and then maintaining strategic oversight as programs are scaled to ensure continuous improvement and sustained impact.
• Clinical program and intervention scope includes near to medium term value delivery of across digital health partnerships strategy and execution, Stars clinical strategy and interventions for key HEDIS measures (GSD / CBP and Care Coordination), and specialty strategy in key high-cost specialties (oncology, CV, MSK, kidney care, etc.).
• In addition, this leader is responsible for driving the evolution our long-term approach to integrated clinical products to deeply understand member needs and create a differentiated clinical experience and outcomes and cost impact.
• Lead both the team directly and drive deep collaboration with partner teams across the enterprise, uniting business leaders, clinicians, product managers, analytics, engineering, and design around common goals.
• Work across the organization in a multidisciplinary way to lead strategic partners across the enterprise, including business leaders, clinicians, and analytics experts, to develop strategies for complex clinical programs.
• Influence others across the organization to ensure enterprise-wide efforts are coordinated, focused on the highest-value opportunities, and take advantage of synergies that occur when multiple teams with different skillsets and scopes come together for common goals.
• Design, test, and scale new cross-functional approaches that improve the experience, clinical outcomes, and cost of care for members, building repeatable capabilities and operating models that outlast any single initiative.
• Provide strategic input, updates, and presentations to enterprise-wide forums.
• Influence senior decision-makers at Humana on opportunities to improve health, lower costs, and improve experience for members, providers, and associates.
• Exercise independent judgment and decision making on complex issues and bring others along with them.

Required Qualifications

• MD or DO degree
• 10+ years of strategy and operations development and implementation experience for healthcare-related organizations.
• Clinical operations experience and expertise, including a deep understanding of how care is delivered across payers and providers, and especially the intersection between the two.
• Product experience managing multidisciplinary teams, including analytics, engineering, design, and clinical roles, to build and scale programs or products.
• 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 on complex projects.
• Process improvement experience.
• Ability to influence, establish, and drive improved business outcomes.
• Ability to lead a diverse group of people toward a common vision with proven results related to motivation, engagement, and goal attainment.

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

$184,800 - $254,100 per year

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.

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

Application Deadline

10-11-2026

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 atHumana.comand 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.