Clinical Strategy and Program Development Lead

The Clinical Performance Strategy & Measurement Team shapes how Humana defines, measures, and improves clinical performance across the enterprise. By identifying high-impact opportunities to improve healthcare quality, affordability, provider performance, and member outcomes, the team informs enterprise strategy and drives meaningful change across the healthcare ecosystem. At its core, the team's mission is to ensure Humana measures what matters, enabling targeted actions that help members receive higher-value care, achieve better health outcomes, and support a more affordable healthcare experience.

The Clinical Strategy and Program Development Lead develops and advances enterprise clinical strategies that improve healthcare quality, affordability, provider performance, and member outcomes. As part of the Clinical Performance Strategy & Measurement Team, this role identifies and evaluates high-impact opportunities, assesses performance gaps, and develops clinical performance frameworks and quality measures that enable the organization to define, track, and improve performance across the enterprise.

Partnering across clinical, analytics, operations, network, and business teams, the Clinical Strategy and Program Development Lead translates complex data and insights into business cases, strategic recommendations, and investment priorities that drive measurable clinical and business value. The role operates within a strategy-to-execution model, helping move enterprise priorities from opportunity identification through implementation, measurement, adoption, and sustained impact.

This position plays a key role in shaping Humana's long-term clinical performance strategy by identifying emerging opportunities, developing strategic roadmaps, advancing innovative measurement approaches, and creating scalable solutions that deliver sustainable enterprise value.

• Identify and evaluate opportunities to improve clinical performance across priority populations and specialties through data analysis, measurement gap assessment, and development of performance frameworks and quality measures.

• Conduct strategic assessments of clinical performance and measurement gaps to identify improvement opportunities and advance enterprise priorities.

• Conduct specialty landscape analyses and identify gaps in performance, measurement, and enterprise capabilities to inform future investment decisions.

• Develop business cases, strategic recommendations, and adoption approaches for new clinical initiatives.

• Develop and maintain strategic roadmaps that prioritize future clinical performance opportunities and align investments with enterprise objectives.

• Own and maintain a pipeline of future clinical performance opportunities aligned to enterprise priorities.

• Develop clinical performance frameworks, quality measures, and measurement strategies to evaluate outcomes and drive improvement.

• Partner with clinical, analytics, and business leaders to ensure performance measures align with organizational objectives and support meaningful action.

• Collaborate with cross-functional teams to identify improvement opportunities, establish success metrics, and evaluate results.

• Support governance processes related to clinical performance measurement and prioritization.

• Build strong partnerships across clinical, operational, analytics, network, and business teams.

• Present recommendations and influence executive decision-making.

• Lead cross-functional initiatives that improve quality, cost, and member outcomes.

• Monitor industry trends and emerging best practices.

• Identify opportunities to expand…