Strategy & Operations Lead – Clinical Outcomes

Strategy & Operations Lead

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

Location:

Remote anywhere in the US

The Strategy & Operations Lead will work across clinical initiatives focused on improving outcomes for members with chronic conditions such as Congestive Heart Failure (CHF), hypertension, and diabetes. The Strategy & Operations Lead will work on diverse and complex problems by bringing their own contributions together with other key stakeholders from across the enterprise and leading end-to-end strategy development and operationalization for top priorities.

Key responsibilities may include but are not limited to:

Best Practice Identification and Translation:

• Drive and synthesize insights across Clinical Analytics, member research, and provider research to inform the strategic roadmap and execution priorities.
• Translate insights into best practices and operational playbooks.

Product & Insight Development and Execution:

• Co-develop and drive the execution of direct-to-member interventions to improve chronic condition management.
• 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.
• Co-develop and support the execution of interventions to address key barriers for providers (PCPs and specialists).
• Work with enterprise partners (e.g., care management, clinical programs, analytics) to ensure alignment and remove operational barriers to member and provider adoption.
• Synthesize complex clinical, operational, and analytic information into clear recommendations for executive leadership.

In general, the Strategy & Operations Lead – Clinical Outcomes will:

• Engage in 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 strategies, performance management strategies, and roadmaps to execute on prioritized opportunities
• Lead or support implementation of initiatives in partnership with internal or external teams.

Use your skills to make an impact

Role Essentials

• Bachelor's degree
• 7 or more years of experience in population health strategy, health outcomes strategies and/or product strategy OR 3 years of management consulting with additional 2-3 years of professional work experience
• Experience in strategy consulting, business strategy, clinical, product, 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

• Master's level degree
• 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

• 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.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Scheduled Weekly Hours 40

Pay Range $126,300 - $173,700 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…