The VP, Strategy Advancement will oversee the design, testing, and implementation of clinical initiatives across Humana’s Medicare business. This includes both internally-focused optimization work to improve member experience and externally-focused initiatives. Leading indicators of success: member engagement rates, member behavior change, provider engagement rates, provider behavior change, pace of tests. Lagging indicators are demonstrated impact on member health outcomes, gross medical trend savings, and ROI of clinical initiatives.

Key Responsibilities

Responsibilities of the role include, but are not limited to:

• Establish strategy for designing and implementing clinical initiatives for the Insurance segment (MA business)
• Oversee clinical initiative design and implementation including end-to-end leadership from concept testing, feature determination, early-stage feasibility and engagement testing, path to scale supporting 1) member-facing clinical programs, 2) provider-facing clinical programs, 3) experience integration, 4) interoperability initiatives
• Prioritize development, adoption, and scaling of key capabilities required to improve member experience and enhance impact of clinical initiatives
• Design and launch novel systems and processes to enable data exchange between key parties, working with Clinical Analytics and Clinical Informatics teams
• Oversee product co-development with external vendors; proactively source key partners and investment opportunities
• Advise on Humana’s investment decisions in digital health, care coordination, and other clinical domains; partner with Corporate Development and Vendor Management to establish sound clinical leading indicators and appropriate study designs
• Oversee team of ~25 with varying backgrounds – clinical, product, strategy, and more
• Make decisions on deployment of product innovation budget, in partnership with Trend Stewardship
• Opportunity to expand to CenterWell over time depending on enterprise priorities

Required Qualifications

• Bachelor’s degree
• Experience leading at least 1 clinical initiative from concept development phase, to pilot phase, to scale
• Demonstrated managerial experience overseeing other people leaders
• Demonstrate an ability to drive an initiative through to completion in a matrixed environment
• Ability to lead and direct teams with varied expertise – user experience, product design, market research, and technical product development teams / technologists
• Deep understanding and thought leadership in product management and / or digital health trends
• Experience working directly for or with a provider that serves MA or Medicaid members, preferably in value-based context
• Track record of financial value delivery of $50 million or more in cross-functional / matrixed environments
• Strong verbal and written communication skills needed to build relationships with Executive Mgmt and outside parties

Desired Qualifications

• Board of Directors interaction experience
• MBA or relevant business experience
• Clinical experience or training

Additional Information

• Location – Remote anywhere across the USA
• Work-At-Home Requirements: To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested; Satellite, cellular and microwave connection can be used only if approved by leadership; Associates 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 associates 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

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