Associate VP, Clinical Product – Strategy

Humana

. Set the strategic direction for clinical programs and products serving Medicare Advantage and Traditional Medicare populations .

Posted 10/2/2026full-timeRemote • United StatesSeniorLead💰 $203,400 - $279,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading clinical programs and teams within Medicare Advantage and Traditional Medicare populations, focusing on quality improvement, financial outcomes, and member engagement. Proven ability to develop scalable home-based care models and drive strategic initiatives across cross-functional teams.

Highest-signal resume keywords

Healthcare Leadership ExperienceClinical Program DevelopmentMedicare Advantage AcumenFinancial AcumenCross-Functional Team Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Program DevelopmentQuality ImprovementRisk AdjustmentCare ManagementUtilization ManagementPerformance ManagementData AnalysisFinancial Outcomes MeasurementMember Engagement StrategiesHome-Based Care Models

Soft Skills

Strategic LeadershipInfluential LeadershipCollaborationProblem SolvingCommunication

Industry Keywords

Medicare AdvantageValue-Based CareStars PerformanceHome HealthPopulation HealthPayer PartnershipsHealthcare OperationsClinical IntegrationQuality MetricsHealthcare Compliance

About the role

Key responsibilities & impact

Set the strategic direction for clinical programs and products serving Medicare Advantage and Traditional Medicare populations
Translate enterprise priorities into scalable home-based care models
Lead a team of approximately 20 associates
Partner across Home, Pharmacy, Primary Care, and Humana to identify opportunities
Build business cases, launch pilots, and scale programs
Develop the roadmap for clinical programs improving HH and MA Stars performance, affordability, risk adjustment, and member outcomes
Oversee day-to-day execution of strategic clinical programs, including performance management, issue resolution, and cross-functional coordination
Lead gap closure and quality improvement efforts
Expand appropriate Home Health utilization and demonstrate network savings, member impact, and operational requirements
Scale interventions reducing hospitalizations, readmissions, emergency department utilization, and other avoidable costs
Build programs improving outreach, participation, adherence, and longitudinal care management
Develop services and home-based care models for high-risk members outside traditional Home Health episodes
Strengthen clinical integration across CWHH, PCO, Rx, and Humana through shared workflows, data, care pathways, and operating routines

Requirements

What you’ll need

Bachelor’s degree in healthcare, business, or related field required
Master’s degree preferred, not required
Minimum of 10 years of progressive healthcare leadership experience
Minimum of 7 years leading managers and professional teams
Strong clinical, Medicare Advantage, and value-based care acumen
Experience building, piloting, and scaling clinical programs with measurable quality, financial, and operational outcomes
Ability to lead through influence across matrixed teams, including clinical, operations, finance, analytics, population health, and payer partners
Strong command of Stars, utilization, medical cost, risk adjustment, documentation, member engagement, and care management dynamics
Strong financial acumen and strategic leadership
Ability to work from a dedicated space without ongoing interruptions to protect PHI/HIPAA information
Home internet with at least 25 Mbps download and 10 Mbps upload speed
Ability to travel occasionally to Humana offices for training or meetings

Benefits

Comp & perks

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Competitive benefits supporting whole-person well-being
Dedicated home workspace requirement supporting remote work
Self-provided internet service for home work