Clinical Operations Lead
Humana
full-time
Posted on:
Location Type: Remote
Location: Remote • Massachusetts, Washington • 🇺🇸 United States
Visit company websiteSalary
💰 $115,200 - $158,400 per year
Job Level
Senior
About the role
- Design and implement programming to support quality care, focusing on end-to-end operations and driving projects to completion (ex. Diabetes management program)
- Act as a clinical operations escalation point for key internal stakeholders
- Analyze performance data and develop frameworks for continuous improvement processes, including how to prioritize with business objectives in mind
- Drive continuous improvement across quality, safety, and provider experience
- Lead provider activation workstream - support license expansion, collaborative requirements, chart reviews, and cross-collaboration with legal, credentialing and technology stakeholders
- Standardize and optimize workflows across clinical onboarding and training
- Partner with business operations, technology partners, and subject matter experts to collaborate on business initiatives that support clinical workflows and provider performance
Requirements
- Bachelor's degree
- 5+ years of experience in healthcare consulting, clinical operations, or a similar role
- Experience working in innovative or rapidly scaling healthcare environments
- Strong organizational and project management skills with a focus on execution and outcomes.
- An understanding of telehealth and healthcare regulations, with a compliance mindset
- A clear communicator who builds trust and alignment across clinical and non-clinical teams
- A data-informed operator who can develop and execute new clinical programming while maintaining stakeholder alignment
- Ability to work independently in a fast-paced, remote-friendly environment.
- Must be able to travel as needed about 10%
- Advanced Microsoft Office skills
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
programmingdata analysiscontinuous improvementproject managementclinical programmingworkflow optimizationtelehealth understandinghealthcare regulations compliance
Soft skills
organizational skillscommunicationtrust buildingalignment facilitationindependent workexecution focus
Certifications
Bachelor's degree