AVP, Clinical Insights

Humana Inc; Northern (KY); Remote; USD 203,000 - 280,000; Full time

Job summary

Humana Inc. seeks an Associate Vice President of Clinical Insights to lead the enterprise strategy for clinical insights products.

You will shape vision, governance, and a multi-year roadmap, and oversee a comprehensive dashboard to monitor clinical excellence across members and patients. You will manage leaders and teams, partner with engineering and business units, and drive data-driven action across the health plan and CenterWell organization.

Qualifications

• Bachelor's degree in data science, math, computer science, health sciences, or public health.
• 15+ years of related professional experience.
• 10+ years of people management experience, including leading leaders and multiple teams.
• 10+ years of deep expertise in clinical analytics, clinical or population health strategy, quality improvement including use of AI.
• Experience at a payer or integrated health system with claims and EHR data.
• Ability to synthesize complex information and translate into enterprise strategy.

Responsibilities

• Create and own the enterprise clinical insights vision, mission, strategy, and 2–4 year roadmap.
• Oversee strategy, design, QA, and governance of a dashboard monitoring enterprise clinical excellence.
• Govern the clinical excellence dashboard across business units to enable data-driven actions.
• Direct multiple teams including measurement science, stratification and predictive modeling, and provider quality.
• Collaborate with engineering and leaders to turn measurement into action across the enterprise.
• Lead cross-functional performance improvement, prioritize interventions, and measure value realization.
• Lead planning, staffing, budgeting, and talent decisions for the function.
• Represent Humana on initiatives aligned with enterprise strategy.

Skills

People management

Clinical analytics

Executive communication

Strategic leadership

Education

Bachelor's degree in data science, math, computer science, health sciences, or public health

Master's degree or terminal degree (preferred)

Job description

## AVP, Clinical InsightsApply: Remote Nationwide: Full time: Posted Today: R-432524# **Become a part of our caring community**The Associate Vice President, Clinical Insights is the enterprise leader that sets the strategy and roadmap for Humana’s clinical insight products. The leader also defines how Humana measures clinical excellence and translates clinical insights into strategic choices, business action, and measurable performance improvement across insurance, primary care, pharmacy, and home health.**KEY RESPONSIBILITIES** · Create and own the enterprise clinical insights vision, mission, strategy, and two to four year roadmap. · Responsible for strategy, design, QA, and ongoing governance of a comprehensive dashboard to monitor enterprise clinical excellence across members and patients. · Steward the governance of the clinical excellence dashboard across relevant business units to facilitate and coordinate data-driven actions. · Direct multiple teams including measurement science, stratification and predictive modeling, and provider quality. · Partner with engineering and business leaders across the health plan and CenterWell organization to turn measurement into action across the enterprise. · Direct cross functional performance improvement efforts and establish methods to prioritize interventions, monitor implementation, and measure value realization. · Lead planning, staffing, budgeting, expense priorities, talent decisions, and changes to methods and practices for the function. · Contribute significantly to interdepartmental initiatives aligned with enterprise strategy and represent the company on matters of great significance.# **Use your skills to make an impact****REQUIRED QUALIFICATIONS**· Bachelor's degree in data science, math, computer science, health sciences, or public health · Fifteen or more years of related professional experience. · 10 or more years of people management experience, including experience leading leaders and multiple teams. · 10 or more years of deep expertise in clinical analytics, clinical or population health strategy, quality improvement including the use of AI to enable those capabilities · Experience at a payer or integrated health system including extensive use of claims and electronic health record data · Demonstrated ability to synthesize complex information and formulate, communicate, and implement enterprise strategy. · Demonstrated success converting evidence into executive decisions and measurable action across payer and care delivery businesses. · Passion for contributing to an organization focused on continuously improving the consumer healthcare experience. **PREFERRED QUALIFICATIONS**· Master's degree or terminal degree in a relevant discipline. · Experience spanning insurance, primary care, pharmacy, and home health or other home-based care. · Experience presenting to senior executives and governing bodies on matters of significant enterprise importance. · Familiarity with Medicare stars and quality measures, · Track record of building high performing, diverse leadership teams and succession pipelines. **LEADERSHIP AND SUCCESS PROFILE**· Enterprise perspective and exceptional knowledge of the healthcare business and external environment. · Ability to work with complex and abstract ideas and exercise independent judgment in ambiguous situations. · Executive communication, strategic influence, and cross functional leadership. · Strong operating discipline with accountability for strategy, execution, talent, budget, and outcomes. · Ability to build alignment among diverse business, clinical, technology, and functional stakeholders. · Success is reflected in adoption of recommendations, execution of action plans, and measurable enterprise performance improvement.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**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.$203,400 - $279,800 per yearThis 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