Principal, Clinical Strategy and Program Development
Job
CenterWell
Remote
$164,950 Salary, Full-Time
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Job Description
- Become a part of our caring community
- The Principal, Care Integration Clinical Strategy and Program Development is a critical leadership role responsible for the success of the portfolio of Care Integration programs within the Complex Care vertical of centralized programming to serve CenterWell Senior Primary Care's (and Conviva Senior Primary Care's) highest need and complexity patients with care and case management services.
- along with their associated workflows and operations
- underpinning our High Risk Patient Management (HRPM) program and Transitions of Care Management (TCM) and condition management program, both of which are designed to improve quality and reduce costs for high-risk senior populations in full-risk Medicare arrangements.
- Portfolio scope
- + High Risk Patient Management Program-Care and case management interdisciplinary offering for top 5% highest need patients + Transitions of Care Management,LongitudinalCare Management,andCondition ManagementProgram
- Post acute care managementinterdisciplinaryofferingfor patients following an acute IP/Obsutilizationevent.
Conditionmanagement supporting patients with unmanaged diabetes and hypertension. + New programming as advanceCare Integration strategic plan
- Tooling scope
- + Care team platforms
- Athena,SalesForceHealthcloud, owned by the IT and Product teams + AI tooling
- Various tools, currently built into Athena andSalesForceHealthCloud, owned by the AI IT team + Analytics
- Power BI dashboarding and reporting, owned by theDataHubteam + Predictiveanalytics
- Readmission predictionscores,owned by Data Science team + Newtoolingasneeded toadvance Care Integration strategic plan
- Core
Responsibilities:
- + Develop,socialize, andimplementCare Integration Team toolingstrategy inpartnership and collaboration withoperational leaders, clinical leaders, IT, population health, and analytics.
SalesForce, Athena, Genesys, AI (e.g., Ambient AI) + Manage HRP score logic & coordinate with clinical and data science + Coordinate with shared services for improvement / new initiatives e.g., Genesys, Call Center (e.g., call center scheduling patients in 7D), Center Ops (e.g., HIMS,Trueshore) + Manage the IT Budget (in coordination with Complex Care VP) + Design & manage implementation of metric / dashboard enhancements + Prioritize analytics initiatives + Develop metric definitions + Design dashboard UI + Co-develop sprint-plans with analytics partners + Coordinate development of metrics with analytics team + Conduct metric QA + Act as point of contact for analytics and product-related questions
- Use your skills to make an impact
Required Qualifications:
- + Bachelor's degree + 5+years progressively responsible professional experience in health-relatedproduct, IT, analytics,preferably in value-based care, particularly managedcareor full risk models + 5+years ofcross-functionaltranslation tooling experience (e.
- Preferred Qualifications
- + Master of Business Administration with threeyears experiencepostMaster'slevel training + Data, product,analyticsand impact translator skills to effectively engage cross-functionally in assessing opportunity and feasibility of strategic initiatives + Experience working with design teams tooptimizeuser experience for platformsand tools + Characteristics of the qualified candidate: + A highly credible leader with deep understanding and empathy for thecare team andpatient pain points in day-to-dayvalue-based operations + Excellence communication skills, including follow-through communication, executive presentations, and the ability to negotiate with horizontal and upward/downward vertical networks + Comfortable managing influence in the context of multiple operations, development, and deployment initiatives in a matrixed environment •Additional Information•+ Remote role,20% travel to variousCenterWell& Conviva markets,on-sites 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.
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.
- $191,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
- Description of Benefits
- Humana, Inc.
Application Deadline:
06-10-2026- About us
About CenterWell Senior Primary Care:
CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE:
HUM). Learn more about what we offer at CenterWell.com. - Equal Opportunity Employer
- It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
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