Remote Associate VP, Clinical Programs & Product Strategy

Humana Inc; Concord (NH); Remote; USD 185,000 - 254,000; Full time

Job summary

Humana Inc. is seeking an AVP of Clinical Program and Product Strategy to design, test, and scale cross-functional clinical programs and products.

You will translate clinical priorities into pilots, launch with rigor, and scale successful initiatives across the enterprise. The role requires navigating ambiguity, aligning stakeholders, and delivering results in a complex matrixed environment, with responsibilities spanning clinical strategy, product design, implementation, and analytics

Qualifications

• MD or DO degree
• 10+ years of strategy and operations development and implementation experience for healthcare-related organizations
• Clinical operations experience and expertise, including a deep understanding of how care is delivered across payers and providers, and especially the intersection between the two.
• Product experience managing multidisciplinary teams, including analytics, engineering, design, and clinical roles, to build and scale programs or products.
• Strong business and/or consulting experience
• Solid business and financial acumen
• Experience with analytics and use of data
• Experience leading cross-functional teams to execute on complex projects
• Process improvement experience
• Ability to influence, establish, and drive improved business outcomes
• Ability to lead a diverse group of people toward a common vision with proven results related to motivation, engagement, and goal attainment

Responsibilities

• Drive enterprise-wide clinical strategy: play a leadership role on a team that develops and executes on enterprise-wide clinical strategies that drive improved health outcomes for our members.
• Lead clinical program and product design, implementation, and scaling by owning the full lifecycle from concept and pilot design through launch, and then maintaining strategic oversight as programs are scaled to ensure continuous improvement and sustained impact.
• Clinical program and intervention scope includes near to medium term value delivery of across digital health partnerships strategy and execution, Stars clinical strategy and interventions for key HEDIS measures (GSD / CBP and Care Coordination), and specialty strategy in key high-cost specialties (oncology, CV, MSK, kidney care, etc.).
• In addition, this leader is responsible for driving the evolution our long-term approach to integrated clinical products to deeply understand member needs and create a differentiated clinical experience and outcomes and cost impact.
• Lead both the team directly and drive deep collaboration with partner teams across the enterprise, uniting business leaders, clinicians, product managers, analytics, engineering, and design around common goals.
• Work across the organization in a multidisciplinary way to lead strategic partners across the enterprise, including business leaders, clinicians, and analytics experts, to develop strategies for complex clinical programs.
• Influence others across the organization to ensure enterprise-wide efforts are coordinated, focused on the highest-value opportunities, and take advantage of synergies that occur when multiple teams with different skillsets and scopes come together for common goals.
• Design, test, and scale new cross-functional approaches that improve the experience, clinical outcomes, and cost of care for members, building repeatable capabilities and operating models that outlast any single initiative.
• Provide strategic input, updates, and presentations to enterprise-wide forums.
• Influence senior decision-makers at Humana on opportunities to improve health, lower costs, and improve experience for members, providers, and associates.
• Exercise independent judgment and decision making on complex issues and bring others along with them.

Education

MD or DO degree

Job description

Humana Inc. is seeking an AVP of Clinical Program and Product Strategy to design, test, and scale cross-functional clinical programs and products.

You will translate clinical priorities into pilots, launch with rigor, and scale successful initiatives across the enterprise. The role requires navigating ambiguity, aligning stakeholders, and delivering results in a complex matrixed environment, with responsibilities spanning clinical strategy, product design, implementation, and analytics