Job Description: Set the strategic direction for clinical programs and products serving Medicare Advantage and Traditional Medicare populations Translate enterprise priorities into scalable home-based care models Lead a team of approximately 20 associates Partner across Home, Pharmacy, Primary Care, and Humana to identify opportunities Build business cases, launch pilots, and scale programs Develop the roadmap for clinical programs improving HH and MA Stars performance, affordability, risk adjustment, and member outcomes Oversee day-to-day execution of strategic clinical programs, including performance management, issue resolution, and cross-functional coordination Lead gap closure and quality improvement efforts Expand appropriate Home Health utilization and demonstrate network savings, member impact, and operational requirements Scale interventions reducing hospitalizations, readmissions, emergency department utilization, and other avoidable costs Build programs improving outreach, participation, adherence, and longitudinal care management Develop services and home-based care models for high-risk members outside traditional Home Health episodes Strengthen clinical integration across CWHH, PCO, Rx, and Humana through shared workflows, data, care pathways, and operating routines Requirements: Bachelor’s degree in healthcare, business, or related field required Master’s degree preferred, not required Minimum of 10 years of progressive healthcare leadership experience Minimum of 7 years leading managers and professional teams Strong clinical, Medicare Advantage, and value-based care acumen Experience building, piloting, and scaling clinical programs with measurable quality, financial, and operational outcomes Ability to lead through influence across matrixed teams, including clinical, operations, finance, analytics, population health, and payer partners Strong command of Stars, utilization, medical cost, risk adjustment, documentation, member engagement, and care management dynamics Strong financial acumen and strategic leadership Ability to work from a dedicated space without ongoing interruptions to protect PHI/HIPAA information Home internet with at least 25 Mbps download and 10 Mbps upload speed Ability to travel occasionally to Humana offices for training or meetings Benefits: Medical, dental and vision benefits 401(k) retirement savings plan Paid time off Company holidays Personal holidays Paid parental leave Paid caregiver leave Short-term disability Long-term disability Life insurance Competitive benefits supporting whole-person well-being Dedicated home workspace requirement supporting remote work Self-provided internet service for home work