Remote AVP, Clinical Product & Strategy — Lead & Scale

Humana Inc; Concord (NH); Remote; USD 203,000 - 280,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Job summary

Humana Inc, CenterWell Home Health is seeking an AVP to set the strategic direction for clinical programs serving Medicare Advantage and Traditional Medicare populations. You will lead a ~20-person team, translate enterprise priorities into scalable home-based care models, and partner across Home, Pharmacy, Primary Care, and Humana to drive value, quality, and member engagement.

The role emphasizes Stars performance, risk adjustment accuracy, and affordability, with remote leadership across 37

Qualifications

• Bachelor’s degree in healthcare, business, or related field required; Master’s degree preferred, not 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 and cross-functional coordination.
• Improve Quality and Stars performance: Lead gap closure and quality improvement efforts for CWHH populations with MA teams.
• Drive appropriate Home Health utilization: Expand appropriate use of Home Health services and demonstrate savings.
• Reduce avoidable medical costs: Scale interventions to reduce hospitalizations and readmissions.
• Advance member engagement and longitudinal care: Build programs for ongoing care management beyond a single Home Health episode.
• Expand high-risk member services: Develop services for high-risk members outside the traditional Home Health episode.
• Improve ecosystem integration: Strengthen clinical integration across CWHH, PCO, Rx, and Humana

Skills

Strategic leadership

Medicare Advantage

Value-based care

Cross-functional leadership

Education

Bachelor's degree

Master's degree preferred

Job description

Humana Inc, CenterWell Home Health is seeking an AVP to set the strategic direction for clinical programs serving Medicare Advantage and Traditional Medicare populations. You will lead a ~20-person team, translate enterprise priorities into scalable home-based care models, and partner across Home, Pharmacy, Primary Care, and Humana to drive value, quality, and member engagement.

The role emphasizes Stars performance, risk adjustment accuracy, and affordability, with remote leadership across 37