Humana · 8 hours ago
National Associate Director, Clinical Strategy and Program Development
United States
Full-time
Remote
Mid, Senior Level, Lead/Staff
$126K/yr - $174K/yr
6+ years expHumana is a healthcare company focused on putting health first, and they are seeking a National Associate Director for Clinical Strategy and Program Development. This role involves providing strategic and operational leadership for care management programs, optimizing clinical programs, and improving population health performance across various markets.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Develop and implement the national strategic roadmap for Care Management, aligned with IPA and CMO priorities
Design and standardize care management models, workflows, and performance frameworks across markets
Identify national short- and long-term goals using SMART or OKR methodology
Evaluate care management operations through a structured assessment framework
Oversee national implementation of care management processes
Partner with regional leadership to improve operating PMPM costs
Develop and maintain scorecards and KPI dashboards
Monitor national KPIs and support markets in performance remediation
Collaborate with regional CMOs, market presidents, and care management leaders
Serve as the national liaison between IPA clinical leadership and operational partners
Provide consultation to markets affiliate leaders on reducing avoidable hospitalizations
Provide national direction to care management leaders
Support recruitment, training, and development of care management talent
Facilitate communication forums and closed-loop feedback channels
Lead integration of care management tools, EMR workflows, and data platforms
Partner with analytics teams to translate data insights into improvements
Oversee national reporting on utilization, quality outcomes, and performance
Partner with IPA operations to support provider performance
Collaborate with contracting, quality, and population health teams
Support IPA growth strategies
Qualification
Required
Bachelor's Degree required (Master's preferred)
Must have Advanced Clinical Licensure (Registered Nurse, Licensed Clinical Social Worker, Nurse Practitioner or Physician Assistant)
6+ years of healthcare management experience
2+ years in care management leadership experience within a provider or primary care delivery organization
Experience managing operational performance, KPIs, and budgets
Excellent communication and executive presentation skills
Proficiency with EMRs, population health tools, and analytics platforms
Ability to travel nationally
Preferred
Experience with IPA networks or Medicare Advantage populations
Knowledge of managed care operations and reimbursement
Experience in full-risk VBC environments
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
Emilie Fritsch
Senior User Interface Design Engineer
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