Humana · 18 hours ago
Strategy Lead - Clinical and Population
United States
Full-time
Remote
Mid, Senior Level
$115K/yr - $158K/yr
5+ years expHumana is committed to putting health first and is seeking a Clinical and Population Health Capture Strategy Lead to drive growth opportunities and develop operating models. This role will coordinate across the organization to create actionable strategies for Medicaid and Medicare initiatives while consulting with growth partners to optimize health plans for target markets.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Research and assess prospective growth markets. Gather key information on market and regulatory landscape and translate federal and state policy to discern impacts to Humana’s operating model
Lead cross-functional teams of growth partners and health plan leaders to design high-impact, innovative, and competitive population health and clinical programs, models, partnerships, and initiatives for upcoming growth opportunities
Coordinate operational teams to translate contract requirements, CMS regulations, market intelligence, and industry best practices into a viable target operating model
Develop project plans and roadmaps, driving timely completion of deliverables by cross-functional project team
Track project status and report on progress to leadership
Participate in the proposal development process. Provide content and recommendations to help shape responses to state Medicaid procurements and clearly articulate Humana's product strategy
Document and clearly communicate operating model features to relevant teams to support proposal development and transition to implementation
Qualification
Required
Bachelor's Degree
5+ years' experience in a Medicaid Managed Care Organization or 5+ years' experience in strategy consulting supporting Medicaid clinical strategy, population health management, or business development
Experience and understanding of the Medicaid ecosystem, managed care health services operations
Pre-RFP proposal development/implementation within Medicaid Managed care
Experience leading cross-functional teams to design a strategy and/or product
Strong problem-solving ability (i.e. adept at research and generating creative solutions)
Ability to operate in a fast-paced environment under tight deadlines and in ambiguous situations
Highly organized and analytical with a strong attention to detail
Advanced Proficiency in Microsoft Office Products (i.e. Word, Excel, PowerPoint, Visio)
Adept at quantitative and qualitative research
Excellent verbal and written communication and presentation skills
Preferred
Master's Degree in Public Health or Health Administration programs
MBA programs with a specialization in Healthcare Management
Project Management and Process Improvement qualifications
Benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-09
2026-01-07
2026-01-06
Company data provided by crunchbase