AVP, Clinical Insights

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

Job summary

Humana is seeking an Associate Vice President, Clinical Insights to set the enterprise strategy and roadmap for clinical insight products. You will lead a multi-disciplinary team to measure clinical excellence, synthesize evidence, and translate findings into executive decisions across payer and care delivery domains.

This remote leadership role requires 15+ years of experience, superior communication with executives, and a track record of delivering data-driven improvements in healthcare

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 (leading leaders and multiple teams).
• 10+ years of deep expertise in clinical analytics and population health strategy.
• Experience at a payer or integrated health system with claims and EHR data.
• Ability to synthesize complex information and implement enterprise strategy.
• Proven success converting evidence into executive decisions and measurable action.
• Passion for improving consumer healthcare experience.

Responsibilities

• Create and own the enterprise clinical insights vision, mission, strategy, and roadmap.
• Governance of a dashboard to monitor enterprise clinical excellence across members and patients.
• Steward governance across business units to coordinate data-driven actions.
• Direct measurement science, stratification and predictive modeling, and provider quality teams.
• Partner with engineering and leaders to turn measurement into action across the enterprise.
• Lead cross-functional performance improvement efforts and measure value realization.
• Lead planning, staffing, budgeting, talent decisions, and changes to methods for the function.
• Contribute to interdepartmental initiatives aligned with enterprise strategy.

Skills

Leadership experience

Clinical analytics

Data synthesis

Strategy communication

Education

Bachelor’s degree in data science / math / CS / health sciences / public health

Master’s degree in a relevant discipline

Job description

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 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 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.