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Humana logo
Humana

Louisville, Kentucky-based Humana is a leading healthcare company that offers a variety of health, wellness, and insurance products and services designed to off

Strategy & Operations Lead – Provider Practice Management

Location

New York

Posted

81 days ago

Salary

$151.6K - $208.4K / year

Seniority

Senior

Bachelor Degree7 yrs expEnglish

Job Description

Strategy & Operations Lead – Provider Practice Management

Humana

• 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. • 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 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.

Job Requirements

  • 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
  • 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.

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
  • many other opportunities

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