Strategy & Operations Lead - Provider Practice Management

Humana

8d • Remote

About The Position

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

Requirements

• 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

Nice To Haves

• Background as a clinician (RN, NP, PA, MD, PharmD, or similar)
• Experience with population health workflows and drivers of 30-day readmissions
• Experience in management consulting and clinical practice (ideal but not required)
• Expertise in provider workflow optimization, care transitions, or readmission reduction programs
• Familiarity with EHR workflows and system integrations
• Demonstrated ability to translate analytics into operationally executable solutions

Responsibilities

• 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.

Benefits

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

What This Job Offers

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