Clinical Operations Strategy Lead jobs in United States
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Humana · 11 hours ago

Clinical Operations Strategy Lead

Humana’s CenterWell Senior Primary Care Organization is a leading provider of value-based care for seniors. The Clinical Operations Strategy Lead will design, implement, and optimize clinical programs to enhance quality and efficiency in healthcare delivery, collaborating closely with various teams to innovate and improve patient and provider experiences.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

Responsibilities

Design and implement programming to support quality care, focusing on end-to-end operations and driving projects to completion (ex. Diabetes management program)
Act as a clinical operations escalation point for key internal stakeholders
Analyze performance data and develop frameworks for continuous improvement processes, including how to prioritize with business objectives in mind
Drive continuous improvement across quality, safety, and provider experience
Lead provider activation workstream - support license expansion, collaborative requirements, chart reviews, and cross-collaboration with legal, credentialing and technology stakeholders
Standardize and optimize workflows across clinical onboarding and training
Partner with business operations, technology partners, and subject matter experts to collaborate on business initiatives that support clinical workflows and provider performance

Qualification

Clinical operations expertiseHealthcare consulting experienceProject management skillsTelehealth understandingData analysis skillsQuality program implementationTrust buildingCommunicationIndependent work abilityOrganizational skillsCollaboration skillsAdaptabilityCreative problem-solving

Required

Bachelor's degree
5+ years of experience in healthcare consulting, clinical operations, or a similar role
Experience working in innovative or rapidly scaling healthcare environments
Strong organizational and project management skills with a focus on execution and outcomes
An understanding of telehealth and healthcare regulations, with a compliance mindset
A clear communicator who builds trust and alignment across clinical and non-clinical teams
A data-informed operator who can develop and execute new clinical programming while maintaining stakeholder alignment
Ability to work independently in a fast-paced, remote-friendly environment
Must be able to travel as needed about 10%
Advanced Microsoft Office skills

Preferred

Master's degree
Clinical background preferred (ex. RN, Pharmacist, NP, etc)
Startup or digital health experience a plus
Virtual care or value-based care experience
Experience implementing quality programs that focus on clinical outcomes
Remote, USA with preferred locations in Boston, MA or Washington, DC

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 is a health insurance provider for individuals, families, and businesses.

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 (202)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Company data provided by crunchbase