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[Remote] Principal, Clinical Strategy and Program Development

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Humana is a leading healthcare services company focused on providing integrated care for seniors. The Principal, Clinical Strategy and Program Development role is essential for managing the Care Integration programs, ensuring strategic direction and execution of tools and analytics to improve patient outcomes for high-risk senior populations.

Responsibilities

  • Develop, socialize, and implement Care Integration Team tooling strategy in partnership and collaboration with operational leaders, clinical leaders, IT, population health, and analytics
  • Support development of product strategy
  • Develop and prioritize the intake
  • Design the product intake feature specifications
  • Test the features & provide feedback to product team
  • Collect feedback from frontline staff & Managers for product enhancements
  • Train Education team & frontline staff on product features and hold regular office hours (in coordination with Education team)
  • Coordinate with Change Committee
  • Manage products: SalesForce, Athena, Genesys, AI (e.g., Ambient AI)
  • Manage HRP score logic & coordinate with clinical and data science
  • Coordinate with shared services for improvement / new initiatives e.g., Genesys, Call Center (e.g., call center scheduling patients in 7D), Center Ops (e.g., HIMS, Trueshore)
  • Manage the IT Budget (in coordination with Complex Care VP)
  • Design & manage implementation of metric / dashboard enhancements
  • Prioritize analytics initiatives
  • Develop metric definitions
  • Design dashboard UI
  • Co-develop sprint-plans with analytics partners
  • Coordinate development of metrics with analytics team
  • Conduct metric QA
  • Act as point of contact for analytics and product-related questions

Skills

  • Bachelor's degree
  • 5+ years progressively responsible professional experience in health-related product, IT, analytics, preferably in value-based care, particularly managed care or full risk models
  • 5+ years of cross-functional translation tooling experience (e.g., sitting between clinical leadership team and hands-on-keys product development team)
  • Experience in developing performance dashboards – specifically defining metric definitions, collaborating with analytics and tech teams to implement dashboards, and performing metric quality checks - and defining product feature specifications
  • The ability to clearly explain complex ideas, analytic insights and technologies to non-technical audiences
  • Experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment, within and outside of direct reporting lines
  • Excellent qualitative and quantitative analytic skills, with the ability to ask the right questions to identify the root causes of problems to be addressed
  • Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to optimize system-level processes
  • Excellent oral and written communications skills, including the polish, poise, and executive and authentic presence that will ensure effective interaction with leadership and front line / manager users of tools
  • Master of Business Administration with three years experience post Master's level training
  • Data, product, analytics and impact translator skills to effectively engage cross-functionally in assessing opportunity and feasibility of strategic initiatives
  • Experience working with design teams to optimize user experience for platforms and tools

Benefits

  • This job is eligible for a bonus incentive plan.
  • 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.
  • Remote role, 20% travel to various CenterWell & Conviva markets, on-sites
  • 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.

Company Overview

  • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.
  • Company H1B Sponsorship

  • Humana has a track record of offering H1B sponsorships, with 91 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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