Job Description

Join Our Caring Community

The Clinical Performance Strategy & Measurement Team shapes how Humana defines, measures, and improves clinical performance across the enterprise. By identifying high-impact opportunities to improve healthcare quality, affordability, provider performance, and member outcomes, the team informs enterprise strategy and drives meaningful change across the healthcare ecosystem. At its core, the team's mission is to ensure Humana measures what matters, enabling targeted actions that help members receive higher-value care, achieve better health outcomes, and support a more affordable healthcare experience.

The Program Delivery Lead translates enterprise clinical performance strategies into scalable operational capabilities that improve healthcare quality, affordability, provider performance, and member outcomes. As part of the Clinical Performance Strategy & Measurement Team, this role leads the implementation, adoption, and integration of high-impact initiatives, performance frameworks, and quality measures across the enterprise, ensuring strategic priorities deliver measurable and sustainable clinical and business value.

Operating within a strategy-to-execution model, the Implementation Lead focuses on how approved strategies are operationalized, adopted, and sustained. Partnering closely with clinical, analytics, operations, network, market, provider, finance, technology, and business stakeholders, the role translates strategic recommendations into implementation roadmaps, governance structures, scalable processes, and measurable business outcomes.

This position plays a key role in advancing Humana's long-term clinical performance strategy by ensuring initiatives are effectively implemented, embedded into operational workflows, and continuously optimized to deliver lasting enterprise value.

Key Responsibilities:

Strategy Implementation & Operationalization

• Translate strategic recommendations into actionable implementation plans, operating models, and execution frameworks.
• Develop implementation roadmaps, milestones, success metrics, governance structures, and accountability plans.
• Ensure initiatives are successfully integrated into business processes and operational workflows.
• Assess operational readiness and identify workflow, reporting, communication, training, and change management needs to support successful implementation.

Stakeholder Engagement & Change Management

• Partner with cross-functional stakeholders to align priorities, clarify roles, and drive successful execution.
• Develop and execute stakeholder engagement, communication, and change management strategies that support adoption and sustainment.
• Identify and address barriers to implementation and operational success.
• Foster alignment and collaboration across clinical, operational, analytics, network, and business teams.

Program Adoption & Performance Monitoring

• Establish approaches for measuring adoption, effectiveness, and operational impact.
• Monitor program performance and identify opportunities for optimization and continuous improvement.
• Support reporting, tracking, and communication of outcomes to stakeholders and leadership.
• Partner with business owners to establish sustainment approaches that support long-term adoption, accountability, and continuous improvement.

Governance & Operational Excellence

• Establish and maintain governance processes that support sustainable implementation and accountability.
• Drive execution standards, implementation best practices, and process improvements.
• Identify operational risks and develop mitigation strategies.
• Support the development of scalable and repeatable implementation methodologies.

Strategic Leadership & Collaboration

• Build strong partnerships across clinical, operational, analytics, network, and business teams.
• Serve as a trusted partner in translating enterprise priorities into operational results.
• Lead cross-functional initiatives and influence stakeholders across multiple levels of the organization.
• Present implementation plans, progress updates, recommendations, and outcomes to leadership.

Innovation & Scalability

• Identify opportunities to improve implementation effectiveness and operational efficiency.
• Promote best practices that enhance scalability, adoption, and sustainability of enterprise initiatives.
• Monitor industry trends and emerging approaches related to healthcare operations, implementation, and performance improvement.
• Support the evolution of enterprise capabilities that drive long-term organizational value.

Role Essentials

• Bachelor's degree
• 8+ years of experience in healthcare operations, clinical operations, program implementation, healthcare consulting, provider performance, value-based care, quality improvement, or implementation
• Experience leading complex cross-functional initiatives and driving execution across multiple stakeholders
• Experience developing and executing implementation plans, operational processes, or large-scale organizational initiatives
• Experience translating strategic recommendations into operational workflows and sustainable business processes
• Strong project management, organizational, and execution skills with the ability to manage multiple priorities simultaneously
• Experience monitoring performance metrics and using data to identify opportunities for improvement and optimization
• Strong executive communication, presentation, and stakeholder management skills
• Self-starter with the ability to proactively identify risks, solve problems, and drive initiatives forward in ambiguous environments
• Demonstrated ability to lead change, facilitate adoption, and achieve measurable outcomes
• Advanced proficiency in Microsoft Excel and PowerPoint

Role Desirables

• Advanced degree (Master's or Doctorate) in Business (MBA), Public Health, Healthcare Administration, Organizational Leadership, Clinical Informatics, or a related field
• Clinical degree or licensure (e.g., MD, DO, PharmD, APRN, NP, PA, RN, BSN)
• Experience implementing provider performance, quality improvement, population health, value-based care, or clinical transformation programs
• Experience developing governance models, operating procedures, and scalable implementation frameworks
• Knowledge of healthcare claims data, clinical coding systems and taxonomies (e.g., ICD-10, CPT, HCPCS), quality measurement methodologies, performance analytics, and their application to performance measurement and improvement initiatives
• Experience working with Medicare Advantage populations

Additional Information

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.$115,200 - $158,400 per yearThis 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: 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

Job Tags

Similar Jobs