[Hiring] Associate Vice President, Clinical Insights @Humana

Role Description

The Associate Vice President, Clinical Insights is the enterprise leader that sets the strategy and roadmap for Humana’s clinical insight products. The leader also defines how Humana measures clinical excellence and translates clinical insights into strategic choices, business action, and measurable performance improvement across insurance, primary care, pharmacy, and home health.

• Create and own the enterprise clinical insights vision, mission, strategy, and two to four year roadmap.
• Responsible for strategy, design, QA, and ongoing governance of a comprehensive dashboard to monitor enterprise clinical excellence across members and patients.
• Steward the governance of the clinical excellence dashboard across relevant business units to facilitate and coordinate data-driven actions.
• Direct multiple teams including measurement science, stratification and predictive modeling, and provider quality.
• Partner with engineering and business leaders across the health plan and CenterWell organization to turn measurement into action across the enterprise.
• Direct cross functional performance improvement efforts and establish methods to prioritize interventions, monitor implementation, and measure value realization.
• Lead planning, staffing, budgeting, expense priorities, talent decisions, and changes to methods and practices for the function.
• Contribute significantly to interdepartmental initiatives aligned with enterprise strategy and represent the company on matters of great significance.

Qualifications

• Bachelor's degree in data science, math, computer science, health sciences, or public health.
• Fifteen or more years of related professional experience.
• 10 or more years of people management experience, including experience leading leaders and multiple teams.
• 10 or more years of deep expertise in clinical analytics, clinical or population health strategy, quality improvement including the use of AI to enable those capabilities.
• Experience at a payer or integrated health system including extensive use of claims and electronic health record data.
• Demonstrated ability to synthesize complex information and formulate, communicate, and implement enterprise strategy.
• Demonstrated success converting evidence into executive decisions and measurable action across payer and care delivery businesses.
• Passion for contributing to an organization focused on continuously improving the consumer healthcare experience.

Requirements

• Master's degree or terminal degree in a relevant discipline.
• Experience spanning insurance, primary care, pharmacy, and home health or other home-based care.
• Experience presenting to senior executives and governing bodies on matters of significant enterprise importance.
• Familiarity with Medicare stars and quality measures.
• Track record of building high performing, diverse leadership teams and succession pipelines.

Benefits

• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance and many other opportunities.

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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.