Become a part of our caring community and help us put health first

Humana is a $100 billion (Fortune 50) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.

Within the Clinical Strategy team, our goal is to leverage Humana’s industry leading plan operations and programs to ensure that our members receive high-value and appropriate care. We will also work to identify innovative ways to improve clinical quality and reduce wasteful medical cost in the healthcare ecosystem. We achieve these results by creating data-driven strategies and focusing on the experiences we create for our members, provider partners & associates. We partner closely with our operations teams, working hand-in-hand to translate these strategies into concrete roadmaps that will generate tangible value to all stakeholders.

This role would be a great fit if …

• You are driven by the opportunity to use your strong strategic and analytical acumen to drive impact and create significant measurable value.
• You are passionate about collaboration and partnering across the enterprise (e.g., Clinical Operations, Markets, Clinical Analytics, Pharmacy, Advocacy, etc.) to develop pragmatic, high-value strategies and drive exceptional operational execution of our key objectives.
• You are curious – you enjoy connecting the dots between business metrics and frontline, understanding key root causes for what we see in data, testing hypotheses for what we could improve to drive value, and transforming ideas into action.

Location: remote nationwide

The Clinical Strategy Lead will analyze complex problems and issues related to member care and medical cost. This role is highly collaborative and will work closely with associates and executive leaders from across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance our clinical strategy. Ultimately, they will work with operational owners to translate strategic recommendations to execution plans for implementation.

An example of work this role would support includes an effort to ensure members receive the most appropriate, cost-effective care in the lowest acuity site of service. This will require identifying and prioritizing cross-enterprise levers, driving stakeholder buy-in and supporting implementation of high-value initiatives to realize improved member health and cost savings outcomes in the near-medium-term.

The Clinical Strategy Lead will:

• Engage in ambiguous problem solving and strategy setting

• Use data and insight from experts to identify the greatest opportunities in clinical outcomes, quality, cost, and experience for members/providers/associates

• Lead cross-functional teams to define discrete opportunities that are both impactful and achievable

• Work directly with cross-functional partners across the enterprise to create the execution model and roadmap to capture prioritized opportunities

Use your skills to make an impact

Role Essentials

• Bachelor’s degree

• 2+ years of full-time work experience with a leading management consulting firm, coupled with 2-3+ years of additional full-time work experience in a role requiring core strategy consulting skills/capabilities

• Ability to interpret and leverage data and analytics to improve strategy and make recommendations; ability to complete analysis and modeling of data to drive insights and recommendations for strategy advancement

• Experience leading cross-functional group of leaders/teams and initiatives

• Proven skills influencing others and a track record of success leading through ambiguity

• Strong communication skills both verbal and written, with ability to flex to different audiences, including senior leadership

• Proven organization, planning and prioritization skills to collaborate with multiple enterprise departments and stakeholders; ability to execute within deadlines

• Ability to work independently to manage projects to achieve objectives

• Competency with Microsoft Office suite (PowerPoint, Excel)

Role Desirables

• Health care industry experience

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$135,000 - $185,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

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.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.