Clinical Operations Strategy Lead

humana; United States; Remote; USD 104,000 - 143,000; Full time

Benefits offered by this job

Bonus incentive plan

Medical, dental and vision benefits

Remote work option

Hybrid DC area collaboration

Job summary

Humana seeks a Lead, Primary Care Strategy to partner with PCO and CenterWell leadership, shaping strategic direction and translating strategy into measurable business results. You will use strategic analysis, finance, and executive synthesis to support top initiatives and report to the Associate VP, PCO Strategy.

The role requires delivering business cases, KPI frameworks, and leadership updates while guiding cross-functional execution with strong stakeholder management.

Qualifications

• Bachelor's degree required in business, finance, economics, healthcare administration, or related field.

Responsibilities

• Lead structured problem-solving and analyses to support PCO priorities.
• Summarize information into executive-ready presentations and recommendations.
• Evaluate strategic opportunities, risks, and implementation considerations.
• Own workstreams with milestones, interdependencies, and risk identification.
• Facilitate cross-functional engagement and decision-support across PCO.

Skills

Strategic analysis

Financial modeling

Executive presentations

Cross-functional influence

Stakeholder management

Education

Bachelor's degree in business, finance, economics, healthcare administration, or related field

Job description

Become a part of our caring community

The Lead, Primary Care Strategy partners with Primary Care Organization (PCO) and CenterWell leadership to help shape PCO's strategic direction and translate strategy into measurable business results. You will solve complex business problems, evaluate strategic opportunities, and develop recommendations that inform executive decision‑making. You will apply strategic analysis, business and financial acumen, and executive‑level synthesis to support some of PCO's highest-priority initiatives. You will work across a diverse portfolio of enterprise and business‑specific priorities, structure ambiguous problems, develop analytical approaches, synthesize recommendations, and drive alignment with senior leaders. You will report to the Associate VP, PCO Strategy.

Responsibilities

• Lead structured problem-solving and hypothesis-driven analyses to support PCO priorities, using financial modeling, qualitative insights, and market research.
• Summarize complex information into executive-ready presentations and recommendations that inform leadership and Board decision-making.
• Lead evaluation of strategic opportunities, feasibility, risks, and implementation considerations to support business priorities.
• Own priority workstreams, including workplans, interdependencies, milestones, stakeholder alignment, and risk identification to support successful execution.
• Facilitate cross-functional engagement through working sessions, stakeholder alignment activities, and decision-support efforts that advance strategy development and enable coordinated execution across PCO.
• Develop business cases, value analyses, KPI frameworks, and leadership updates that communicate progress, risks, and strategic implications.

Use your skills to make an impact

Required Qualifications

• Bachelor's degree in business, finance, economics, healthcare administration, or a related field.
• 3+ years of experience with a management consulting firm and/or 4+ years in a strategic role requiring core consulting skills, with evidence of increasing responsibility.
• Experience structuring and solving complex business problems using quantitative and qualitative analysis.
• Experience conducting financial modeling, interpreting operational and financial data, and developing business cases.
• Experience translating strategy into actionable plans and driving cross-functional execution through influence and stakeholder management.
• Experience creating polished, executive-level presentations and deliverables that communicate complex concepts with clarity.
• Can work EST hours.

Preferred Qualifications

• Prior healthcare industry experience, preferably within healthcare services or care delivery organizations
• Experience working in a highly matrixed, multi‑business‑unit organization
• Demonstrated initiative, adaptability, and ability to manage multiple priorities in a dynamic environment
• Strong interpersonal and collaboration skills, with the ability to work effectively across segments and functions
• Commitment to improving patient experience and outcomes

Additional Information

This is a remote role but the Washington, DC metro area is a preferred location (opportunity to follow a hybrid model, working together with leader in Arlington, VA office 1-3 days a week).

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.