Remote AVP, Clinical Product & Strategy

Humana Inc; Saint Paul (MN); Remote; USD 203,000 - 280,000; Full time

Job summary

CenterWell Home Health, part of Humana Inc., seeks an AVP, Clinical Product & Strategy to set strategic direction for clinical programs and products impacting Medicare Advantage and Traditional Medicare populations served by CenterWell Home Health. You will translate priorities into scalable home-based care models, partnering with Humana entities to scale programs that improve quality and engagement.

The leader will oversee a team of ~20 associates, drive pilots, build business cases, and scale

Qualifications

• Bachelor’s degree in healthcare, business, or related field required.
• A minimum of 10 years of progressive healthcare leadership experience
• A minimum of 7 years leading managers and professional teams

Responsibilities

• Own MA value creation strategy: Develop the roadmap for clinical programs that improve HH and MA Stars performance, affordability, risk adjustment, and member outcomes.
• Oversee clinical program execution: Provide day-to-day oversight of strategic clinical programs, including performance management, issue resolution, and cross-functional coordination.
• Improve Quality and Stars performance: Lead gap closure and quality improvement efforts for CWHH populations, partnering with clinical, analytics, population health, and MA teams.
• Drive appropriate Home Health utilization: Expand appropriate use of Home Health services and demonstrate the associated network savings, member impact, and operational requirements.
• Reduce avoidable medical costs: Scale interventions that reduce hospitalizations, readmissions, emergency department utilization, and other avoidable costs.
• Advance member engagement and longitudinal care: Build programs that improve outreach, participation, adherence, and ongoing care management beyond a single Home Health episode.
• Expand high-risk member services: Identify and develop services for high-risk members outside the traditional Home Health episode, including new home-based care models and pilots.
• Improve ecosystem integration: Strengthen clinical integration across CWHH, PCO, Rx, and Humana through shared workflows, data, care pathways, and operating routines.

Skills

Strategic leadership

Medicare Advantage

Value-based care

Financial acumen

Cross-functional influence

Program management

Education

Bachelor’s degree in healthcare, business, or related field

Master’s degree preferred, not required

Job description

CenterWell Home Health, part of Humana Inc., seeks an AVP, Clinical Product & Strategy to set strategic direction for clinical programs and products impacting Medicare Advantage and Traditional Medicare populations served by CenterWell Home Health. You will translate priorities into scalable home-based care models, partnering with Humana entities to scale programs that improve quality and engagement.

The leader will oversee a team of ~20 associates, drive pilots, build business cases, and scale