Clinical Strategy Lead

Humana - Trenton, NJ

Full-time - Senior

Remote - Trenton, NJ

10,001+ employees

Insurance Carriers and Related Activities

About the position

The Clinical Strategy Lead at Humana is responsible for leading initiatives that analyze and enhance clinical strategies using data and insights from various sources. This role involves engaging in problem-solving and strategy-setting processes to identify opportunities for improved clinical outcomes, cost control, and member experience. The position requires collaboration with cross-functional teams and operational leaders to develop and execute strategic plans that align with the organization's clinical priorities.

Responsibilities

• Engage in problem-solving and strategy setting on specific clinical priorities for the organization.
• Use data and insights to identify opportunities in clinical outcomes, quality, cost, and member experience.
• Lead a multidisciplinary team to define impactful and achievable opportunities.
• Work with business partners to create strategic plans and roadmaps for execution.

Requirements

• Bachelor's degree
• 7 or more years of experience creating and driving strategy, or 4 or more years with a related graduate degree (e.g. MBA)
• 2 or more years of consulting experience
• 2 or more years of project leadership experience
• Experience in the health care industry
• Excellent verbal and written communication skills
• Strong problem-solving skills
• Competency with Microsoft Office suite (PowerPoint, Excel)

Nice-to-haves

• Master's degree
• Exposure or experience with clinical care delivery and interventions and/or care management
• Experience with value-based care strategy and/or operations
• Prior work within Medicare Advantage

Benefits

• Health insurance
• 401k
• Paid holidays
• Flexible scheduling
• Professional development opportunities