Clinical Operations Strategy Lead

Humana; Frankfort (KY); Remote; USD 104,000 - 143,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana, Inc. in the United States is seeking a Clinical Operations Strategy Lead to drive complex initiatives that improve efficiency, standardize workflows, and enable successful implementation of strategic programs.

This role acts as a cross-functional liaison across clinical operations, technology, claims, procurement, contract management, external customers, and enterprise partners. The position requires a bachelor's degree in business, healthcare administration, or related field, 4+ years

Qualifications

• Bachelor's degree in business, healthcare administration, information systems, or related field.
• 4+ years of experience in process improvement and large-scale implementation.
• Experience in clinical operations, healthcare operations, managed care, government healthcare programs, or related operational strategy roles.
• Experience leading complex, cross-functional initiatives in a matrixed environment.
• Strong knowledge of workflow mapping, process analysis, process improvement, and operational standardization.
• Experience supporting system transitions, operational readiness, testing, implementation planning, or enterprise initiatives.
• Ability to translate strategic objectives and operational needs into actionable plans, requirements, and measurable outcomes.
• Experience with TRICARE, military health, or government healthcare programs.
• Experience with procurement, contract oversight, vendor management, or change order management.
• Current work experience with Lucidchart.

Responsibilities

• Lead planning and execution of strategic clinical operations initiatives that support enterprise goals and operational readiness.
• Establish and maintain consistent communication channels across internal teams and business partners.
• Lead process optimization efforts to improve efficiency, quality, and scalability across clinical operations.
• Provide procurement and contract management oversight for clinical enablement-related vendors, services, and deliverables.
• Manage change order processes, including impact assessment, stakeholder communication, and implementation coordination.

Skills

Process improvement

Cross-functional collaboration

Healthcare operations

Government healthcare programs

Matrixed environment

Workflow mapping

Enterprise initiatives

Strategic planning

Education

Bachelor's degree in business/healthcare/IS

Tools

Lucidchart

Job description

Become a part of our caring community

The Clinical Operations Strategy Lead is responsible for leading complex clinical operations initiatives that improve efficiency, standardize workflows, support enterprise readiness, and enable successful implementation of strategic programs. This role serves as a cross-functional liaison across clinical operations, technology, claims, procurement, contract management, external customers, and enterprise partners.

Our Government Contract Requires US Citizenship for this Position

KEY ACCOUNTABILITIES

• 35% Lead planning and execution of strategic clinical operations initiatives that support enterprise goals and operational readiness.


• 25% Establish and maintain consistent communication channels across internal teams and business partners.


• 15% Lead process optimization efforts to improve efficiency, quality, and scalability across clinical operations.


• 15% Provide procurement and contract management oversight for clinical enablement-related vendors, services, and deliverables.


• 10% Manage change order processes, including impact assessment, stakeholder communication, and implementation coordination.

Use your skills to make an impact

Required Qualifications

• Bachelor's degree in business, healthcare administration, information systems or related field


• 4 or more years of experience process improvement, large scale implementation work


• Demonstrated experience in clinical operations, healthcare operations, managed care, government healthcare programs, or related operational strategy roles.


• Experience leading complex, cross-functional initiatives in a matrixed environment.


• Strong knowledge of workflow mapping, process analysis, process improvement, and operational standardization.


• Experience supporting system transitions, operational readiness, testing, implementation planning, or enterprise initiatives.


• Ability to translate strategic objectives and operational needs into actionable plans, requirements, and measurable outcomes.

Preferred Qualifications

• Experience with TRICARE, military health, or government healthcare programs.


• Experience with procurement, contract oversight, vendor management, or change order management.


• Current work experience with Lucidchart

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.

$104,000 - $143,000 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.

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.