Strategic Initiatives Project Lead
CVS Health
Provider Strategy Lead
Humata Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Lead the provider engagement and strategy workstream within Humata Health’s customer base.
- Develop and execute strategies to align provider operations and workflows with prior authorization transformation goals.
- Serve as the primary liaison between Humata Health and provider organizations, ensuring clarity of objectives, timelines, and outcomes.
- Collaborate with providers to implement workflow improvements that support AI-enabled prior authorization and medical policy alignment.
- Gather and synthesize provider feedback to inform ongoing technology and process enhancements.
- Partner with internal teams (clinical, product, engineering, and project management) to integrate provider insights into solution design.
- Track and report on provider engagement and utilization metrics, adoption milestones, and performance outcomes.
- Support communication, education, and change management efforts for provider partners.
- Represent provider perspectives in cross-functional planning and strategic discussions.
- Ensure all provider engagement activities align with compliance and data privacy standards.
Requirements
- 8+ years of experience in healthcare strategy, provider relations, or health plan network management.
- Strong understanding of provider operations, clinical workflows, and revenue cycle processes.
- Experience collaborating with national or regional payers on utilization management or care coordination initiatives.
- Proven ability to manage complex, multi-stakeholder projects involving providers, payers, and technical teams.
- Exceptional communication and relationship-building skills, with experience engaging provider executives and clinical leaders.
- Knowledge of prior authorization, utilization management, or care management workflows.
- Strong analytical and problem-solving skills with a focus on data-driven decision-making.
- Ability to manage multiple priorities in a fast-paced, innovative environment.
Benefits
- Impactful Work: Contribute to innovative solutions that improve healthcare efficiency and patient outcomes
- Remote Flexibility: Enjoy working remotely while being part of a collaborative team, with access to our new office in Winter Park, FL
- Competitive Compensation: Enjoy competitive base compensation, equity through our Employee Stock Option Plan, and bonus-eligible roles
- Comprehensive Benefits: Full benefits package including unlimited PTO and 401k program with employer match
- Growth Opportunities: Advance your career in a fast-paced, high-impact environment with ample professional development
- Inclusive Culture: Join a diverse workplace where your ideas and contributions are valued
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
healthcare strategyprovider relationshealth plan network managementclinical workflowsrevenue cycle processesutilization managementcare coordinationprior authorizationdata-driven decision-makingproject management
Soft skills
communication skillsrelationship-building skillsanalytical skillsproblem-solving skillsability to manage multiple prioritiescollaborationchange managementstrategic thinkingstakeholder managementadaptability
