Associate VP, Clinical Program and Product Strategy

Humana

21h • $184,800 - $254,100 • Remote

About The Position

Humana is seeking an Associate VP, Clinical Program and Product Strategy to lead a critical transformation towards a more health outcomes-oriented organization. This senior leadership role is central to designing, testing, and scaling new cross-functional approaches to clinical programs and products that improve member experience, clinical outcomes, and total cost of care. The AVP will translate clinical priorities into actionable pilots, manage their implementation, and scale successful initiatives across the enterprise. This highly visible role requires navigating ambiguity, aligning stakeholders, and delivering results in a complex environment. The position is part of the Clinical Innovation & Trend team, responsible for setting enterprise clinical priorities, identifying value drivers, and leading the development of discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience. The AVP will own the end-to-end journey from clinical strategy through program and product design, implementation, and scaling.

Requirements

• MD or DO degree
• 10+ years of strategy and operations development and implementation experience for healthcare-related organizations.
• Clinical operations experience and expertise, including a deep understanding of how care is delivered across payers and providers, and especially the intersection between the two.
• Product experience managing multidisciplinary teams, including analytics, engineering, design, and clinical roles, to build and scale programs or products.
• Strong business and/or consulting experience.
• Solid business and financial acumen.
• Experience with analytics and use of data.
• Experience leading cross-functional teams to execute on complex projects.
• Process improvement experience.
• Ability to influence, establish, and drive improved business outcomes.
• Ability to lead a diverse group of people toward a common vision with proven results related to motivation, engagement, and goal attainment.
• Self-provided internet service must meet 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.

Responsibilities

• Drive enterprise-wide clinical strategy: play a leadership role on a team that develops and executes on enterprise-wide clinical strategies that drive improved health outcomes for our members.
• Lead clinical program and product design, implementation, and scaling by owning the full lifecycle from concept and pilot design through launch, and then maintaining strategic oversight as programs are scaled to ensure continuous improvement and sustained impact.
• Clinical program and intervention scope includes near to medium term value delivery of across digital health partnerships strategy and execution, Stars clinical strategy and interventions for key HEDIS measures (GSD / CBP and Care Coordination), and specialty strategy in key high-cost specialties (oncology, CV, MSK, kidney care, etc.).
• Drive the evolution of our long-term approach to integrated clinical products to deeply understand member needs and create a differentiated clinical experience and outcomes and cost impact.
• Lead both the team directly and drive deep collaboration with partner teams across the enterprise, uniting business leaders, clinicians, product managers, analytics, engineering, and design around common goals.
• Work across the organization in a multidisciplinary way to lead strategic partners across the enterprise, including business leaders, clinicians, and analytics experts, to develop strategies for complex clinical programs.
• Influence others across the organization to ensure enterprise-wide efforts are coordinated, focused on the highest-value opportunities, and take advantage of synergies that occur when multiple teams with different skillsets and scopes come together for common goals.
• Design, test, and scale new cross-functional approaches that improve the experience, clinical outcomes, and cost of care for members, building repeatable capabilities and operating models that outlast any single initiative.
• Provide strategic input, updates, and presentations to enterprise-wide forums.
• Influence senior decision-makers at Humana on opportunities to improve health, lower costs, and improve experience for members, providers, and associates.
• Exercise independent judgment and decision making on complex issues and bring others along with them.

Benefits

• medical
• dental
• vision
• 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: Director
• Education Level: Ph.D. or professional degree