Become a part of our caring community and help us put health first
 

Humana is a $100 billion (Fortune 50) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.

Within Clinical Strategy, the Enterprise and Specialty Strategy team employs a rigorous process to set specific clinical priorities for the enterprise. They identify the greatest sources of value and lead a multi-disciplinary process to identify opportunities for enhanced clinical outcomes, cost control, quality, and member experience. This is a remote opportunity to join a dynamic team within Humana and work on complex and diverse clinical priorities while getting experience and exposure within Clinical Strategy and across the enterprise.

Location: remote nationwide but preference for Louisville, KY

The Clinical Strategy Lead will analyze complex problems and issues related to member care, care quality/outcomes, and medical cost. This role is highly collaborative and will work closely with associates and executive leaders from across the enterprise to solicit input, collaborate externally to identify opportunities in value-based healthcare, guide data and literature/evidence backed problem solving, and make recommendations to advance our clinical strategy. This individual will promote innovative solutions and work with enterprise partners to develop strategic recommendations and support execution efforts with operational leaders. Specifically, this individual will be part of a team that leads non-PCP and specialty risk initiatives, amongst other home-based and virtual care clinical innovations, to reduce total cost of care while improving clinical quality and member experience. This individual will partner with internal and external stakeholders to design, validate scale new innovative value-based care/ alternative payment models in risk-based healthcare.

The Clinical Strategy Lead will:

• Engage in an ambiguous problem solving and strategy setting process on specific clinical priorities for the organization.

• Use data and insights from experts to identify the greatest opportunities in clinical outcomes, quality, cost, and experience for members.

• Lead a multidisciplinary team to define the discrete opportunities that are both impactful and achievable.

• Work directly with our business partners across the organization to create the strategic plan and roadmap to execute and capture prioritized opportunities.

Key Skills and Abilities necessary for success:

• Experience leading cross-functional teams to achieve meaningful results.

• Effective communication skills both verbally and in writing.

• Proven skills influencing others and a track record of success working through ambiguity.

• Ability to interpret and leverage data to support recommendations.

• Skill in developing and delivering persuasive presentations to all levels in the organization.

• Independent judgment and decision making on complex issues regarding job duties and related tasks.

Use your skills to make an impact
 

Role Essentials

• Bachelor’s degree

• 7 or more years of experience creating and driving strategy, or 4 or more years of experience with a related graduate degree (e.g. MBA or MHA, etc.)

• 2 or more years of consulting experience

• 2 or more years of project leadership experience

• Experience in the health care industry

• Excellent verbal and written communication skills with the ability to communicate effectively with senior leaders

• Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis

• Competency with Microsoft Office suite (PowerPoint, Excel)

Role Desirables

• Master's degree

• Experience working with providers and/or hospital systems

• Exposure or experience with clinical care delivery and interventions and/or care management

• Experience with value-based care strategy and/or operations

• Prior work within Med