The Specialty Clinical Strategy & Program Development Lead is a high-impact, cross-functional leader responsible for the design, execution, and scaling of clinical programs that advance value-based care for seniors. This role sits at the intersection of clinical operations, strategy, analytics, and provider engagement, with a particular focus on eConsults, referral optimization, and specialty access programs.
This associate will translate clinical strategy into operational reality-owning program performance, aligning stakeholders, and ensuring initiatives drive measurable improvements in quality, cost, access, and provider experience. This role will report to the Director, Clinic Operations Strategy.
Key ResponsibilitiesClinical Program Strategy & Ownership- Own the end-to-end lifecycle of assigned clinical programs (e.g., eConsults, curbside consults, referral optimization, specialty integration initiatives).
- Translate organizational value-based strategy into scalable, repeatable clinical programs.
- Define program goals, success metrics, operating models, and long-term roadmaps.
- Serve as the single accountable owner for program outcomes and performance.
eConsult Program Leadership (Core Focus)- Lead strategy, operations, and optimization of the eConsult program across markets.
- Partner with primary care, specialty providers, and network strategy to:
- Improve specialty access
- Reduce avoidable referrals and downstream cost
- Support PCP confidence and clinical decision-making
- Establish governance, workflows, service-level expectations, and clinical appropriateness standards.
- Monitor utilization, turnaround times, clinical impact, provider satisfaction, and financial performance.
Operational Execution & Scaling- Design and implement standard operating procedures, workflows, and playbooks.
- Partner with market leaders to drive local adoption and execution, while maintaining national consistency.
- Identify operational friction points and lead continuous improvement initiatives.
- Support new market launches, pilots, and phased program expansions.
Clinical & Cross-Functional Partnership- Act as a trusted partner to:
- Clinical leadership (PCPs, Medical Directors, Specialists)
- Operations and market leadership
- Analytics, finance, IT, and product teams
- Facilitate alignment between clinical intent and operational feasibility.
- Present program performance and recommendations to senior leadership.
Analytics, Measurement & Performance Management- Define KPIs and dashboards to track program success (quality, utilization, cost, experience).
- Partner with analytics teams to turn data into actionable insights.
- Use data to identify variation, opportunities, and improvement strategies.
- Ensure programs demonstrate clear ROI and value creation in a value-based environment.
Change Management & Provider Enablement- Support provider adoption through education, communication, and feedback loops.
- Develop provider-facing materials, training content, and best-practice guidance.
- Serve as a clinical and operational thought partner to frontline teams.
QualificationsRequired- 5+ years of experience in clinical operations, clinical strategy, or healthcare program leadership.
- Strong understanding of value-based care models, especially in senior / Medicare populations.
- Demonstrated experience leading complex, cross-functional initiatives from concept through execution.
- Experience with specialty integration, referral management, or virtual care programs.
- Experience working closely with physicians and clinical leaders.
- Proven ability to use data to drive decision-making and operational improvement.
Preferred- Deep experience operating clinical programs leveraging health technology
- Experience with eConsults.
- Familiarity with Medicare Advantage economics and quality frameworks.
- Experience operating in a multi-market or national healthcare organization.
Key Competencies- Strategic thinker with strong execution discipline
- Clinical credibility and provider empathy
- Operational rigor and attention to detail
- Data-driven problem solving
- Executive communication and stakeholder influence
- Comfort operating in ambiguity and building from scratch
This role is critical to CenterWell's mission of
delivering better outcomes at lower cost for seniors. The Clinical Strategy & Program Development Lead will directly shape how primary care teams access specialty expertise, reduce unnecessary utilization, and improve access to care-while building programs that can scale nationally.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours40
Pay RangeThe 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 year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of BenefitsHumana, 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
