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We are looking for a dynamic Strategy & Operations Lead - Provider Practice Management to develop clinical solutions for our members and providers, with full accountability from strategy to execution.

The Strategy & Operations Lead - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical Strategy and Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare delivery, provider performance improvement, operational redesign, and translating insights into actionable workflows for clinical practices.

The Strategy & Operations Lead - Provider Practice Management will work across clinical initiatives focused on reducing 30-day Plan All-Cause Readmissions (PCR). They will partner closely with high-performing and low-performing provider groups to identify clinical best practices, understand operational gaps, and design and operationalize provider-facing improvements that lead to measurable performance lift. They must be highly collaborative, able to work cross-functionally across Humana and external provider partners, and able to drive execution (not just strategy) in a fast-moving environment.

Key responsibilities of the position are as follows:

Best Practice Identification

• Engage with high-performing provider groups to understand clinical workflows, transitional care processes, and operational drivers that contribute to lower readmission rates.

• Conduct targeted discovery with low-performing providers to identify barriers, workflow breakdowns, staffing constraints, or data usability issues that inhibit execution of best practices.

• Translate field insights into a clear set of best practices and operational playbooks that provider organizations can adopt to meaningfully reduce readmissions.

Product & Insight Development

• Partner with Clinical Analytics to understand key data patterns and root causes of readmissions and convert these signals into provider-friendly insights.

• Lead the design and refinement of provider-facing data views (dashboards, insights, performance summaries) to ensure they are actionable, timely, and aligned to provider workflows.

• Work with product leads and data teams to prioritize enhancements that make insights easier for providers to use — e.g., surfacing patients most likely to readmit, highlighting missed touchpoints, or flagging operational risk.

Execution With Providers & Internal Stakeholders

• Serve as the primary operational liaison with targeted provider groups, ensuring best practices are activated and sustained.

• Co-develop and support rollout of interventions such as transitional care workflows, follow-up protocols, huddle tools, or care-team guidance that directly reduce readmission risk.

• Work with enterprise partners (e.g., care management, clinical programs, analytics, population health) to ensure alignment and remove operational barriers to provider adoption.

Strategy & Impact Measurement

• Define the strategic roadmap for provider practice improvements related to PCR.

• Set measurable targets, track provider engagement, and monitor performance lift over time.

• Synthesize complex clinical, operational, and analytic information into clear recommendations for executive leadership.

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s degree

• 7 or more years of experience in population health strategy, health outcomes strategies and/or provider practice management OR 3 years of management consulting with additional 2-3 years of professional work experience

• Strong understanding of transitional care management

• Experience working directly with provider groups, clinical leaders, or care teams

• Experience in advanced primary care or high-performance provider model organizations (e.g., ChenMed, Oak Street, Cityblock, Iora, CareMore)

• Strong data literacy with demonstrated experience using analytics to drive operational insights

• Excellent communication, relationship-building, and cross-functional collaboration skills

• Ability to independently manage complex initiatives, work across departments, and drive execution without day-to-day oversight

Preferred Quali