Principal, Clinical Strategy and Program Development
Job
CenterWell Home Health
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 . The Principal is response for the strategic direction, execution and ongoing management of the platforms, products, and analytics
- 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.
- level , individual contributor role, with responsibility for platform, product and analytics tooling, collaborating with IT, Product (Athena, SalesForce ), Analytics ( DataHub ), and Medical Economics teams to deliver offerings supporting the 500+ FTE care teams driving program delivery and patient outcomes.
- Care and case management interdisciplinary offering for top 5% highest need patients Transitions of Care Management , Longitudinal Care Management, and Condition Management Program
- Post acute care management interdisciplinary offering for patients following an acute IP/ Obs utilization even t . Ongoing Care Management for high complexity patients to address clinical, behavioral, and social needs. Condition management supporting patients with unmanaged diabetes and hypertension. New programming as advance Care Integration strategic plan Tooling scope Care team platforms
- Athena, SalesForce Healthcloud , owned by the IT and Product teams AI tooling
- Various tools, currently built into Athena and SalesForce HealthCloud , owned by the AI IT team Analytics
- Power BI dashboarding and reporting, owned by the DataHub team Predictive analytics
- Readmission prediction scores , owned by Data Science team New tooling as needed to advance Care Integration strategic plan
Core Responsibilities:
D evelop, socialize, and implement Care Integration Team tooling strategy in partnership and collaboration with operational leaders, clinical leaders, IT, population health, and analytics. Product-related activities (SF, Athena, AI-tools): Support development of product strategy Develop and prioritize the intake Design the product intake feature specifications Test the features & provide feedback to product team Collect feedback from frontline staff & Managers for product enhancements Train Education team & frontline staff on product features and hold regular office hours (in coordination with Education team) Coordinate with Change Committee Manage products: 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 impactRequired Qualifications:
Bachelor's degree 5+ years progressively responsible professional experience in health-related product, IT, analytics , preferably in value-based care, particularly managed care or full risk models 5 + years of cross-functional translation tooling experience (e.g., sitting between clinical leadership team and hands-on-keys product development team) Experience in developing performance dashboards- specifically defining metric definitions , collaborating with analytics and tech teams to implement dashboar d s , and performing metric quality checks
- and defining product feature specifications The ability to clearly explain complex ideas, analytic insights and technologies to non-technical audiences Experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment, within and outside of direct reporting lines Excellent qualitative and quantitative analytic skills, with the ability to ask the right questions to identify the root causes of problems to be addressed Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to optimize system-level processes Excellent oral and written communications skills, including the polish, poise, and executive and authentic presence that will ensure effective interaction with leadership and front line / manager users of tools Preferred Qualifications Master of Business Administration with three years experience post Master's level training Data, product, analytics and impact translator skills to effectively engage cross-functionally in assessing opportunity and feasibility of strategic initiatives Experience working with design teams to optimize user experience for platforms and tools Characteristics of the qualified candidate: A highly credible leader with deep understanding and empathy for the care team and patient pain points in day-to-day value-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 various CenterWell & 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. 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. $138,900- $191,000 per year This job is eligible for a bonus incentive plan.
Application Deadline:
06-10-2026 About usAbout 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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Similar remote jobs
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