AVP, Clinical Intelligence

Humana Inc; United States; Remote; USD 246,000 - 344,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Parental and caregiver leave

Job summary

Humana Inc. is seeking an Associate Vice President, Clinical Intelligence to set the strategy and roadmap for enterprise clinical intelligence products. You will lead clinical informatics, care pathways, and AI safety programs while aligning with regulatory and business objectives.

The role oversees multiple teams, manages budgets and talent decisions, and partners with CenterWell and other divisions to advance enterprise outcomes. Travel may be required for leadership meetings.

Qualifications

• PhD or MD or equivalent degree in data science, informatics, public health, a clinical discipline, or a related field.
• Fifteen or more years of related professional experience.
• Seven or more years of people management experience, including experience leading leaders and multiple teams.
• Deep expertise in informatics, clinical intelligence, artificial intelligence, or a related discipline.
• Demonstrated ability to synthesize complex information and formulate, communicate, and implement enterprise strategy.
• Demonstrated success influencing decisions across payer and care delivery businesses.
• Passion for contributing to an organization focused on continuously improving the consumer healthcare experience.

Responsibilities

• Create and own the enterprise clinical intelligence vision, mission, strategy, and two to four year roadmap.
• Direct multiple teams responsible for clinical informatics, care pathways and clinical AI safety and evaluation, translating clinical guidelines and evidence into configurable pathways that scale across conditions.
• Partner with engineering and business leaders across the health plan and CenterWell to deliver clinical intelligence products against enterprise outcome targets.
• Manage enterprise standards for AI clinical safety, a decision area with regulatory, reputational, and member-safety exposure.
• 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.

Skills

Executive leadership

Strategic planning

Cross-functional collaboration

AI safety & evaluation

Education

PhD or MD or equivalent

Job description

Become a part of our caring community The Associate Vice President, Clinical Intelligence is the enterprise leader that sets the strategy and roadmap for Humana’s clinical intelligence products. The leader also defines and enforces enterprise standards for AI-driven clinical actions including pre-deployment testing, drift monitoring, human-in-the-loop and human-on-the-loop workflows.

KEY RESPONSIBILITIES

• Create and own the enterprise clinical intelligence vision, mission, strategy, and two to four year roadmap.
• Direct multiple teams responsible for clinical informatics, care pathways and clinical AI safety and evaluation, translating clinical guidelines and evidence into configurable pathways that scale across conditions.
• Partner with engineering and business leaders across the health plan and CenterWell to deliver clinical intelligence products against enterprise outcome targets.
• Manage enterprise standards for AI clinical safety, a decision area with regulatory, reputational, and member-safety exposure.
• 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

• PhD or MD or equivalent degree in data science, informatics, public health, a clinical discipline, or a related field.
• Fifteen or more years of related professional experience.
• Seven or more years of people management experience, including experience leading leaders and multiple teams.
• Deep expertise in informatics, clinical intelligence, artificial intelligence, or a related discipline.
• Demonstrated ability to synthesize complex information and formulate, communicate, and implement enterprise strategy.
• Demonstrated success influencing decisions across payer and care delivery businesses.
• Passion for contributing to an organization focused on continuously improving the consumer healthcare experience.

PREFERRED QUALIFICATIONS

• 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.
• 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.

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

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. $246,100 - $344,200 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 to be when we …

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.