Strategy Advancement Lead – Clinical Outcomes

Become a part of our caring community and help us put health first
 The Strategy Advancement Lead provides data-backed strategic direction and clinical expertise to identify and address business opportunities to improve care for high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer-led clinical services. This role will focus on opportunities to improve health outcomes, member and provider experience, clinical quality, and medical cost savings. The Strategy Advancement Lead will work on diverse and complex problems by bringing their own contributions together with other key stakeholders from across the enterprise (e.g. clinical, quality, operations, analytics) and leading end-to-end strategy development and operationalization for key priorities.

Location: remote

The Strategy Advancement Lead will drive initiatives to analyze complex problems and issues related to our Medicare Advantage and SNP populations using data and insights from internal and external sources. They will bring clinical expertise and collaborate with subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans. They will work closely with associates and executive leaders from across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance our clinical strategy. Ultimately, the Strategy Advancement Lead will support product and operational partners to translate strategic recommendations into tangible, implemented solutions.

This role will help drive strategy development and execution across a range of priority topics. Examples include, but are not limited to, development and optimization of strategies to improve blood pressure and A1C control, medication adherence interventions, and other key efforts/pilot programs.

The Strategy Advancement Lead will:

• Engage in an ambiguous problem solving and strategy setting

• Use data and insights from experts to identify the greatest opportunities in clinical outcomes, quality, cost, and experience for members and providers

• Lead cross-functional teams to define discrete opportunities that are both impactful and achievable

• Work directly with cross-functional partners across the enterprise to create the operationalization models, test and learn strategy, and roadmaps to execute on prioritized opportunities

Use your skills to make an impact
 

Role Essentials

• Bachelor’s degree with 7+ years relevant experience OR Master’s level degree with 4+ years experience in driving and creating strategy

• Experience in strategy consulting, business strategy, clinical and/or operations areas

• Direct people leadership and/or experience leading others by influence

• Ability to interpret and leverage data and analytics to improve strategy and make recommendations

• Strong communication skills both verbal and written, with ability to flex to different audiences, including senior leadership

• Proven skills influencing others and a track record of success leading through ambiguity

• Proven organization, planning and prioritization skills to collaborate with multiple enterprise departments and stakeholders; ability to execute within deadlines

• Ability to work independently to manage projects to achieve objectives

• Competency with Microsoft Office suite (PowerPoint, Excel)

Role Desirables

• Clinical background (MD, RN, RPh, etc.) preferred

• Advanced degree in relevant field or MBA

• Exposure or experience with clinical care delivery and interventions

Additional information

This role could require occasional travel for meetings several times a year.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$115,200 - $158,400 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our 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.

Application Deadline: 03-27-2025
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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