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The National Associate Director, Clinical Strategy and Program Development provide strategic and operational leadership for the IPA's (Independent Physician Association) care management programs across all markets. This role designs, implements, and optimizes clinical programs, drives population health performance, acute/post-acute utilization reduction, interdisciplinary care integration, and overall provider and patient experience improvement. You will report to the Chief Medical Officer, MSO.

Note: This is a Remote position, and candidates can live across the US, however, it does require 50% travel to support the following 8 States: FL/TX/NV/VA/TN/GA/WA/NC. (Candidates residing in these 8 states would be ideal candidates)

Key Responsibilities:

1. National Strategy & Program Development

• Develop and implement the national strategic roadmap for Care Management, aligned with IPA and CMO priorities
• Design and standardize care management models, workflows, and performance frameworks across markets
• Identify national short- and long-term goals using SMART or OKR methodology
• Evaluate care management operations through a structured assessment framework

2. Operational Leadership & Performance Management

• Oversee national implementation of care management processes
• Partner with regional leadership to improve operating PMPM costs
• Develop and maintain scorecards and KPI dashboards
• Monitor national KPIs and support markets in performance remediation

3. Clinical & Operational Dyad Partnership

• Collaborate with regional CMOs, market presidents, and care management leaders
• Serve as the national liaison between IPA clinical leadership and operational partners
• Provide consultation to markets affiliate leaders on reducing avoidable hospitalizations

4. Leadership, People Development & Stakeholder Engagement

• Provide national direction to care management leaders
• Support recruitment, training, and development of care management talent
• Facilitate communication forums and closed-loop feedback channels

5. Data, Technology & Reporting

• Lead integration of care management tools, EMR workflows, and data platforms
• Partner with analytics teams to translate data insights into improvements
• Oversee national reporting on utilization, quality outcomes, and performance

6. Provider Relations & IPA Network Support

• Partner with IPA operations to support provider performance
• Collaborate with contracting, quality, and population health teams
• Support IPA growth strategies

Use your skills to make an impact
 

Required Qualifications:

• Bachelor's Degree required (Master's preferred)
• Must have Advanced Clinical Licensure (Registered Nurse, Licensed Clinical Social Worker, Nurse Practitioner or Physician Assistant)
• 6+ years of healthcare management experience
• 2+ years in care management leadership experience within a provider or primary care delivery organization
• Experience managing operational performance, KPIs, and budgets
• Excellent communication and executive presentation skills
• Proficiency with EMRs, population health tools, and analytics platforms
• Ability to travel nationally

Preferred Qualifications:

• Experience with IPA networks or Medicare Advantage populations
• Knowledge of managed care operations and reimbursement
• Experience in full-risk VBC environments

Note: This role is considered patient/staff facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

WAH Statement:

To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requ