Associate VP, Clinical Product & Strategy

Humana

1d • $203,400 - $279,800 • Remote

About The Position

The AVP, Clinical Product & Strategy will set the strategic direction for clinical programs and products that create measurable value for Medicare Advantage and Traditional Medicare populations served by CenterWell Home Health (CWHH). This work will directly impact the experience of more than 400,000 patients across the 37 states in which we operate. This leader will translate enterprise priorities into scalable home-based care models that improve quality, reduce avoidable medical costs, strengthen risk adjustment accuracy, and deepen member/patient engagement. This role will lead a team of ~20 associates to partner across Home, Pharmacy, Primary Care, and Humana to identify opportunities, build business cases, launch pilots, and scale programs that support CWHH’s nationally scaled home health business and broader integrated care strategy.

Requirements

• Strategic, enterprise-oriented leader with strong clinical, Medicare Advantage, and value-based care acumen.
• Experience building, piloting, and scaling clinical programs with measurable quality, financial, and operational outcomes.
• Ability to lead through influence across matrixed teams, including clinical, operations, finance, analytics, population health, and payer partners.
• Strong command of Stars, utilization, medical cost, risk adjustment, documentation, member engagement, and care management dynamics.
• Demonstrated ability to leverage strong financial acumen and strategic leadership to ensure area performance, sustainability, and compliance with organizational goals.
• 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.
• Self-provided internet service must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Master’s degree preferred, not required.

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.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Manager