Humana · 1 month ago
Strategy & Operations Lead - Provider Practice Management
United States
Full-time
Remote
Mid, Senior Level
$126K/yr - $174K/yr
7+ years expHumana Inc. is committed to putting health first and is seeking a Strategy & Operations Lead - Provider Practice Management to develop clinical solutions for members and providers. This role involves working with provider groups to identify best practices and operational improvements aimed at reducing readmissions and enhancing provider performance.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Engage with high-performing provider groups to understand clinical workflows, transitional care processes, and operational drivers that contribute to lower readmission rates
Conduct targeted discovery with low-performing providers to identify barriers, workflow breakdowns, staffing constraints, or data usability issues that inhibit execution of best practices
Translate field insights into a clear set of best practices and operational playbooks that provider organizations can adopt to meaningfully reduce readmissions
Partner with Clinical Analytics to understand key data patterns and root causes of readmissions and convert these signals into provider-friendly insights
Lead the design and refinement of provider-facing data views (dashboards, insights, performance summaries) to ensure they are actionable, timely, and aligned to provider workflows
Work with product leads and data teams to prioritize enhancements that make insights easier for providers to use — e.g., surfacing patients most likely to readmit, highlighting missed touchpoints, or flagging operational risk
Serve as the primary operational liaison with targeted provider groups, ensuring best practices are activated and sustained
Co-develop and support rollout of interventions such as transitional care workflows, follow-up protocols, huddle tools, or care-team guidance that directly reduce readmission risk
Work with enterprise partners (e.g., care management, clinical programs, analytics, population health) to ensure alignment and remove operational barriers to provider adoption
Define the strategic roadmap for provider practice improvements related to PCR
Set measurable targets, track provider engagement, and monitor performance lift over time
Synthesize complex clinical, operational, and analytic information into clear recommendations for executive leadership
Qualification
Required
Bachelor's degree
7 or more years of experience in population health strategy, health outcomes strategies and/or provider practice management OR 3 years of management consulting with additional 2-3 years of professional work experience
Strong understanding of transitional care management
Experience working directly with provider groups, clinical leaders, or care teams
Experience in advanced primary care or high-performance provider model organizations (e.g., ChenMed, Oak Street, Cityblock, Iora, CareMore)
Strong data literacy with demonstrated experience using analytics to drive operational insights
Excellent communication, relationship-building, and cross-functional collaboration skills
Ability to independently manage complex initiatives, work across departments, and drive execution without day-to-day oversight
Preferred
Background as a clinician (RN, NP, PA, MD, PharmD, or similar)
Experience with population health workflows and drivers of 30-day readmissions
Experience in management consulting and clinical practice (ideal but not required)
Expertise in provider workflow optimization, care transitions, or readmission reduction programs
Familiarity with EHR workflows and system integrations
Demonstrated ability to translate analytics into operationally executable solutions
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
2026-01-13
2026-01-09
2026-01-07
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